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NJCRI PHYSICIANS GROUP PC
NPI 1487100657
Internal Medicine in Newark, NJ

Active since August 29, 2016CLIA 31D2220636 · Waiver
393 CENTRAL AVE, NEWARK, NJ 07103(973) 483-3444(347) 342-0769 Get Directions Write a Review

NPPES record last updated: April 12, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 12, 2017, Jan 17, 2017, Aug 31, 2016 (3 updates tracked since 2016).

About Njcri Physicians Group Pc NPPES

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

NJCRI PHYSICIANS GROUP PC (NPI 1487100657) is a healthcare organization registered as an internal medicine in Newark, New Jersey and active in the NPI registry since August 2016. The organization holds a CLIA Waiver certificate valid through April 13, 2027 and lists Shawn Ekwall, Administrator, as its authorized official.

NPPES Registry Identity

NPI1487100657
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameNJCRI PHYSICIANS GROUP PC
Location Address393 CENTRAL AVENewark, NJ 07103-2842
Mailing Address393 Central AveNewark, NJ 07103-2842 · (973) 483-3444 · Fax (347) 342-0769
Phone(973) 483-3444
Fax(347) 342-0769
Organization SubpartYesParent: North Jersey Community Research Initiative
Authorized OfficialShawn EkwallAdministrator · (973) 483-3444
Enumeration DateAugust 29, 2016
Last NPPES UpdateApril 12, 20173 updates tracked since enumeration
✔ NPI 1487100657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · 25MA05479500
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
393 CENTRAL AVE, Newark, NJ 07103
Open in Google Maps ↗

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

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 31D2220636

North Jersey Aids Alliance Inc Dba Njcri · Newark, NJ
Active · expires Apr 13, 2027
CLIA Number31D2220636
Laboratory TypePhysician Office
Certificate Effective DateApril 14, 2025
Certificate Expiration DateApril 13, 2027
Laboratory DirectorRonald J. Poblete
Laboratory Phone(973) 483-3444
Laboratory LocationNorth Jersey Aids Alliance Inc Dba Njcri393 Central Ave, Newark, NJ 07103
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 18

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

DORINDA COLEMAN LCD
Counselor (Mental Health)
393 CENTRAL AVE
NEWARK, NJ 07103
Essex County (973) 483-3444
MR. VITO ANGELO DITURI R.PH.
Pharmacist
393 CENTRAL AVE
NEWARK, NJ 07103
Essex County (973) 757-1200
PAUL IYAHEN RN
Registered Nurse (Psychiatric/Mental Health)
393 CENTRAL AVE
NEWARK, NJ 07103
Essex County (973) 483-3444
COMMUNITY PRIDE PHARMACY LLC
Pharmacy (Community/Retail Pharmacy)
393 CENTRAL AVE
NEWARK, NJ 07103
Essex County (973) 988-9800
AISHA HESLOP
Pharmacist
393 CENTRAL AVE
NEWARK, NJ 07103
Essex County (973) 757-1200
TOWN TOTAL HEALTH NEWARK LLC
Pharmacy (Community/Retail Pharmacy)
393 CENTRAL AVE
NEWARK, NJ 07103
Essex County (973) 757-1200
MRS. ANNA KASM APN
Nurse Practitioner
393 CENTRAL AVE
NEWARK, NJ 07103
Essex County (973) 483-3444
JOSEPH KIPER RN
Registered Nurse (Psychiatric/Mental Health)
393 CENTRAL AVE
NEWARK, NJ 07103
Essex County (973) 483-3444

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 Njcri Physicians Group PC's NPI number?

The NPI number for Njcri Physicians Group PC is 1487100657. It was assigned to this organization in the NPPES registry on August 29, 2016.

Where is Njcri Physicians Group PC located?

Njcri Physicians Group PC is located at 393 Central Ave, Newark, NJ 07103. The listed phone number is (973) 483-3444.

What is Njcri Physicians Group PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Njcri Physicians Group PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2220636) is associated with this NPI, valid through April 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Njcri Physicians Group PC accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Njcri Physicians Group PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Njcri Physicians Group PC was last updated on April 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.