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THE PETER HO MEMORIAL CLINIC
NPI 1124475991
Clinic/Center - Primary Care in Newark, NJ

Active since May 20, 2016CLIA 31D2335129 · Waiver
111 CENTRAL AVE, NEWARK, NJ 07102(973) 877-5649(973) 877-2824 Get Directions Write a Review

NPPES record last updated: May 20, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About The Peter Ho Memorial Clinic NPPES

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

THE PETER HO MEMORIAL CLINIC (NPI 1124475991) is a healthcare organization registered as a primary care in Newark, New Jersey and active in the NPI registry since May 2016. The organization holds a CLIA Waiver certificate valid through December 4, 2027 and lists David A Ricci, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1124475991
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameSAINT MICHAELS MEDICAL CENTER INC.
Location Address111 CENTRAL AVENewark, NJ 07102-1909
Mailing Address111 Central AveNewark, NJ 07102-1909 · (973) 877-5649 · Fax (973) 877-2824
Phone(973) 877-5649
Fax(973) 877-2824
Organization SubpartNo
Authorized OfficialDavid A RicciChief Executive Officer · (732) 458-7955
Enumeration DateMay 20, 2016
✔ NPI 1124475991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
111 CENTRAL AVE, Newark, NJ 07102
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Other Names 1

Doing Business AsThe Peter Ho Memorial Clinic

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 31D2335129

Saint Michael's Mobile Healthcare LLC · Newark, NJ
Active · expires Dec 4, 2027
CLIA Number31D2335129
Laboratory TypeAmbulance
Certificate Effective DateDecember 5, 2025
Certificate Expiration DateDecember 4, 2027
Laboratory DirectorCharles T. Rawley
Laboratory Phone(551) 365-2333
Laboratory LocationSaint Michael's Mobile Healthcare LLC111 Central Avenue, Newark, NJ 07102
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

PAUL V SCOTT CRNA
Registered Nurse
111 CENTRAL AVE
NEWARK, NJ 07102
Essex County (973) 877-5043
DR. HOI-WING SUSANNA YIM M.D.
Internal Medicine
111 CENTRAL AVE
NEWARK, NJ 07102
Essex County (973) 877-5000
DR. MONIQUE ALMOND ANTONIA PRINCE MD
Student in an Organized Health Care Education/Training Program
111 CENTRAL AVE
NEWARK, NJ 07102
Essex County (929) 513-0312
KING EMERGENCY ASSOCIATES, P.A.
Emergency Medicine
111 CENTRAL AVE
NEWARK, NJ 07102
Essex County (973) 877-5000
DR. NITA MODI MD
Specialist
111 CENTRAL AVE
NEWARK, NJ 07102
Essex County (973) 877-5000
GATEWAY EMERGENCY SERVICES PC
Emergency Medicine
111 CENTRAL AVE, EMERGENCY DEPARTMENT
NEWARK, NJ 07102
Essex County (469) 401-2386
DR. CHRYSTINA MILDRED KIWAN MD
Student in an Organized Health Care Education/Training Program
111 CENTRAL AVE
NEWARK, NJ 07102
Essex County (973) 877-5000
KHALED MOHAMMAD KHALED BANI YASEEN MD
Student in an Organized Health Care Education/Training Program
111 CENTRAL AVE
NEWARK, NJ 07102
Essex County (551) 250-3743

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 Saint Michaels Medical Center Inc.'s NPI number?

The NPI number for Saint Michaels Medical Center Inc. is 1124475991. It was assigned to this organization in the NPPES registry on May 20, 2016. The provider is doing business as The Peter Ho Memorial Clinic.

Where is Saint Michaels Medical Center Inc. located?

Saint Michaels Medical Center Inc. is located at 111 Central Ave, Newark, NJ 07102. The listed phone number is (973) 877-5649.

What is Saint Michaels Medical Center Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Saint Michaels Medical Center Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2335129) is associated with this NPI, valid through December 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Saint Michaels Medical Center Inc. was last updated on May 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.