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EAGLE HEALTH SERVICES, LLC
NPI 1063076685
Nurse Practitioner - Psychiatric/Mental Health in Newark, NJ

Active since April 29, 2019CLIA 31D2184952 · Waiver
18 FERRY ST, NEWARK, NJ 07105(732) 255-2252(848) 444-9801 Get Directions Write a Review

NPPES record last updated: July 12, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 12, 2022, Jan 2, 2021, Dec 24, 2020 and 3 more (6 updates tracked since 2019).

About Eagle Health Services, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EAGLE HEALTH SERVICES, LLC (NPI 1063076685) is a healthcare organization registered as a psychiatric/mental health in Newark, New Jersey and active in the NPI registry since April 2019. The organization holds a CLIA Waiver certificate valid through May 27, 2028 and lists David O Alabi, Owner, as its authorized official.

NPPES Registry Identity

NPI1063076685
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameEAGLE HEALTH SERVICES, LLC
Location Address18 FERRY STNewark, NJ 07105-1436
Mailing Address18 Ferry St Ste 2Newark, NJ 07105-1436 · (973) 589-3566 · Fax (973) 589-1707
Phone(732) 255-2252
Fax(848) 444-9801
Organization SubpartNo
Authorized OfficialDavid O AlabiOwner · (973) 262-4936
Enumeration DateApril 29, 2019
Last NPPES UpdateJuly 12, 20226 updates tracked since enumeration
NPPES CertifiedJuly 12, 2022
✔ NPI 1063076685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
18 FERRY ST, Newark, NJ 07105
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2184952

Eagle Health Services LLC · Newark, NJ
Active · expires May 27, 2028
CLIA Number31D2184952
Laboratory TypePractitioner Other
Certificate Effective DateMay 28, 2026
Certificate Expiration DateMay 27, 2028
Laboratory DirectorDavid O. Alabi
Laboratory Phone(973) 589-3566
Laboratory LocationEagle Health Services LLC18 Ferry Street, Suite 2, Newark, NJ 07105
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DOUGLAS T DOWNEY D.M.D.
Dentist
18 FERRY ST
NEWARK, NJ 07105
Essex County (973) 690-5136
DR. FEMINIA CASTRO MAC MD
Pediatrics (Adolescent Medicine)
18 FERRY ST
NEWARK, NJ 07105
Essex County (973) 589-3566

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eagle Health Services, LLC's NPI number?

The NPI number for Eagle Health Services, LLC is 1063076685. It was assigned to this organization in the NPPES registry on April 29, 2019.

Where is Eagle Health Services, LLC located?

Eagle Health Services, LLC is located at 18 Ferry St, Newark, NJ 07105. The listed phone number is (732) 255-2252.

What is Eagle Health Services, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Does Eagle Health Services, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2184952) is associated with this NPI, valid through May 27, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Eagle Health Services, LLC was last updated on July 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.