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CATHEDRAL PHYSICIAN SERVICES, P.C.
NPI 1720032964
Specialist in Newark, NJ

Active since May 20, 2006
111 CENTRAL AVE, 3RD FLOOR, NEWARK, NJ 07102(973) 877-5300(973) 877-2621 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Cathedral Physician Services, P.c. NPPES

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

CATHEDRAL PHYSICIAN SERVICES, P.C. (NPI 1720032964) is a healthcare organization registered as a specialist in Newark, New Jersey and active in the NPI registry since May 2006. The organization lists Mark Connolly, Director, as its authorized official.

NPPES Registry Identity

NPI1720032964
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCATHEDRAL PHYSICIAN SERVICES, P.C.
Location Address111 CENTRAL AVE, 3RD FLOORNewark, NJ 07102-1909
Mailing Address111 Central Ave, 3rd FloorNewark, NJ 07102-1909 · (973) 877-5300 · Fax (973) 877-2621
Phone(973) 877-5300
Fax(973) 877-2621
Organization SubpartNo
Authorized OfficialMark ConnollyDirector · (973) 877-5300
Enumeration DateMay 20, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1720032964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
111 CENTRAL AVE, Newark, NJ 07102
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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

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 Cathedral Physician Services, P.C.'s NPI number?

The NPI number for Cathedral Physician Services, P.C. is 1720032964. It was assigned to this organization in the NPPES registry on May 20, 2006.

Where is Cathedral Physician Services, P.C. located?

Cathedral Physician Services, P.C. is located at 111 Central Ave 3rd Floor, Newark, NJ 07102. The listed phone number is (973) 877-5300.

What is Cathedral Physician Services, P.C.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Cathedral Physician Services, P.C. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.