NJCRI
NPI 1679063242
Clinic/Center - Rehabilitation, Substance Use Disorder in Newark, NJ

Q: What is North Jersey Community Research Initiative's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Active since May 18, 2018

393 CENTRAL AVE, NEWARK, NJ 07103(973) 483-3444 Get Directions Write a Review

NPPES record last updated: May 18, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Njcri NPPES

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

NJCRI (NPI 1679063242) is a healthcare organization registered as a rehabilitation, substance use disorder in Newark, New Jersey and active in the NPI registry since May 2018. The organization lists Corey Lyn Destefano, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1679063242

Entity TypeOrganization

Primary Taxonomy261QR0405X

Legal Business NameNORTH JERSEY COMMUNITY RESEARCH INITIATIVE

Location Address393 CENTRAL AVENewark, NJ 07103-2842

Mailing Address393 Central AveNewark, NJ 07103-2842 · (973) 483-3444

Phone(973) 483-3444

Organization SubpartNo

Authorized OfficialCorey Lyn DestefanoClinical Director · (973) 483-3444

Enumeration DateMay 18, 2018

✔ NPI 1679063242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities

Taxonomy Code261QR0405X

License✔ Licensed in NJ · 2000633

393 CENTRAL AVE, Newark, NJ 07103

Open in Google Maps ↗

Other Names 1

Doing Business AsNjcri

Other Identifiers 1

Medicaid0538027NJ

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)