CITY OF NEWARK
NPI 1104647635
Clinic/Center - Federally Qualified Health Center (FQHC) in Newark, NJ
About City Of Newark NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CITY OF NEWARK (NPI 1104647635), doing business as Newark Dept Of Health And Community Wellness Dental Mobile Unit, is a healthcare organization registered as a federally qualified health center (fqhc) in Newark, New Jersey and active in the NPI registry since October 2024. The organization holds 2 active CLIA laboratory certificates and lists Ketlen Alsbrook, Ceo & Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
CLIA Laboratory Certificates CMS CLIA 2
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 31D0687399
City Of Newark- Dept Of Health & Community Wellness · Newark, NJCertificate of Waiver 31D2069609
City Of Newark- Dept Of Health & Community Wellness · Newark, NJOther Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEWARK, NJ 07102
NEWARK, NJ 07102
NEWARK, NJ 07102
NEWARK, NJ 07102
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 City Of Newark's NPI number?
The NPI number for City Of Newark is 1104647635. It was assigned to this organization in the NPPES registry on October 17, 2024. The provider is doing business as Newark Dept of Health and Community Wellness Dental Mobile Unit.
Where is City Of Newark located?
City Of Newark is located at 394 University Ave, Newark, NJ 07102. The listed phone number is (800) 734-7083.
What is City Of Newark's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Does City Of Newark hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
When was this NPI record last updated?
The NPPES record for City Of Newark was last updated on September 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.
# City Of Newark · NPI 1104647635
Federally Qualified Health Center (FQHC) organization in Newark, New Jersey. Organization record, active in the CMS NPPES registry since October 17, 2024.
## Identity
- **NPI:** 1104647635 (Entity type: Organization)
- **Enumerated:** October 17, 2024
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Also known as:** Newark Dept of Health and Community Wellness Dental Mobile Unit (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Ketlen Alsbrook, CEO & DIRECTOR
## Practice location
- **Address:** 394 UNIVERSITY AVE, Newark, NJ 07102-1221
- **Phone:** (800) 734-7083
## Record status
- **NPPES last updated:** September 9, 2025
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1104647635) · Data from the CMS NPPES public registry.