Organization
NEIGHBORHOOD HEALTH SERVICES CORPORATION
Active
Parent organization
NEIGHBORHOOD HEALTH SERVICES CORPORATION
Other names
Neighborhood Health Center - Plainfield
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEIGHBORHOOD HEALTH SERVICES CORPORATION
Authorized official
MR. DERRICK C. WILLIAMS (VICE PRESIDENT & COO)
(908) 753-6401
Entity
Organization
Contact information
Practice address
1700-58 MYRTLE AVENUE, PLAINFIELD, NJ 07063
(908) 753-6401
(908) 753-6278
Mailing address
1700-58 MYRTLE AVENUE, PLAINFIELD, NJ 07063
(908) 753-6401
(908) 753-8278
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
207R00000X
Internal Medicine Physician
—
NJ
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
NJ
208000000X
Pediatrics Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
22271
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0020401
—
NJ
05
—
0020421
—
NJ
Enumeration date
06/15/2006
Last updated
10/27/2015
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