# NBIMC FAMILY HEALTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578521225
- **Authorized official:** MRS. CHARMAINE THOMAS (DIRECTOR)
- **Authorized official phone:** (732) 557-7160

## Contact information

- **Practice address:** 166 LYONS AVE, NEWARK, NJ 07112-2016
- **Practice address phone:** (973) 926-7300
- **Practice address fax:** (973) 923-9506
- **Mailing address:** PO BOX 18788, NEWARK, NJ 07191-8788
- **Mailing address phone:** (732) 557-7160
- **Mailing address fax:** (732) 557-7109

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133V00000X | Registered Dietitian | — | NULL | — |
| 133V00000X | Registered Dietitian | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |

## Other

- **Enumeration date:** 05/03/2006
- **Last updated:** 04/22/2008