Organization
CENTRAL JERSEY MEDICAL CENTER, INC.
Active
Other names
Jewish Renaissance Medical Center at 13th Ave School, Central Jersey Medical Center at 13th Ave School
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACK O'LEARY (CEO)
(732) 376-9333
Entity
Organization
Contact information
Practice address
359 13TH AVE, NEWARK, NJ 07103-2125
(973) 679-7709
(732) 324-5765
Mailing address
PO BOX 1220, ATTN: CREDENTIALING/HR, PERTH AMBOY, NJ 08862
(732) 376-6635
(732) 324-5765
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
22864
NJ
Other
Enumeration date
06/30/2015
Last updated
01/27/2023
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