Organization
NEWARK EXTENDED CARE FACILITY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MORTON PANETH LNHA (CHIEF FINANCIAL OFFICER)
(973) 483-6800
Entity
Organization
Contact information
Practice address
65 JAY STREET, NEWARK, NJ 07103
(973) 488-6800
(973) 483-1841
Mailing address
65 JAY STREET, NEWARK, NJ 07103
(973) 488-6800
(973) 483-1841
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0971360001
M CARE PART B
—
Enumeration date
01/30/2007
Last updated
09/11/2025
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