Organization
NEIGHBORHOOD HEALTH SERVICES CORPORATION
Active
Parent organization
NEIGHBORHOOD HEALTH SERVICES CORPORATION
Other names
Neighborhood Health Center - Elizabeth
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
184 FIRST STREET, ELIZABETH, NJ 07206-1000
(908) 355-4459
(908) 355-4985
Mailing address
1700 MYRTLE AVE, PLAINFIELD, NJ 07063-1000
(908) 753-6401
(908) 226-6743
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
25MA06505500
NJ
207R00000X
Internal Medicine Physician
25MA05775700
NJ
207R00000X
Internal Medicine Physician
25MA5775700
NJ
208000000X
Pediatrics Physician
25MA04375900
NJ
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9087508
—
NJ
Enumeration date
04/12/2007
Last updated
03/17/2014
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