Provider Demographics
NPI:1265750269
Name:THE NEWSTEAD PROPERTY GROUP LLC
Entity type:Organization
Organization Name:THE NEWSTEAD PROPERTY GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CORNELIUS & VERSEY
Authorized Official - Middle Name:WESLEY
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:MDIV
Authorized Official - Phone:973-763-3510
Mailing Address - Street 1:72 SPEIR DR
Mailing Address - Street 2:
Mailing Address - City:SOUTH ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07079-1049
Mailing Address - Country:US
Mailing Address - Phone:973-763-3510
Mailing Address - Fax:973-763-1421
Practice Address - Street 1:72 SPEIR DR
Practice Address - Street 2:
Practice Address - City:SOUTH ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07079-1049
Practice Address - Country:US
Practice Address - Phone:973-763-3510
Practice Address - Fax:973-763-1421
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-14
Last Update Date:2010-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ261QC1500X, 261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health