Provider Demographics
NPI:1902217276
Name:ZUFALL HEALTH CENTER, INC
Entity Type:Organization
Organization Name:ZUFALL HEALTH CENTER, INC
Other - Org Name:ZUFALL HEALTH CENTER
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:FINANCE ADMINISTRATIVE ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABET
Authorized Official - Middle Name:
Authorized Official - Last Name:BARAJAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-344-9100
Mailing Address - Street 1:18 W BLACKWELL ST
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07801-3841
Mailing Address - Country:US
Mailing Address - Phone:973-344-9100
Mailing Address - Fax:
Practice Address - Street 1:49 MOUNT PLEASANT AVE
Practice Address - Street 2:
Practice Address - City:WEST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07052-4901
Practice Address - Country:US
Practice Address - Phone:973-325-2266
Practice Address - Fax:973-325-2773
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-08
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)