# RUTGERS NURSING FACULTY PRACTICE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Rutgers Community Health Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710475322
- **Authorized official:** MICHELLE BECKFORD (SENIOR BUISNESS MANAGER)
- **Authorized official phone:** (973) 353-3693

## Contact information

- **Practice address:** 449 BROAD ST, NEWARK, NJ 07102-3224
- **Practice address phone:** (973) 732-6040
- **Mailing address:** PO BOX 829766, PHILADELPHIA, PA 19182-9766
- **Mailing address phone:** (732) 235-6057
- **Mailing address fax:** (732) 235-7446

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |
| 261QF0400X | Federally Qualified Health Center (FQHC) | — | NULL | — |

## Other

- **Enumeration date:** 04/30/2018
- **Last updated:** 09/29/2025