NEWARK DEPARTMENT OF HEALTH AND COMMUNITY WELLNESS/MARY ELIZA MAHONEY
NPI 1972206258
Clinic/Center - Federally Qualified Health Center (FQHC) in Newark, NJ
About Newark Department Of Health And Community Wellness/mary Eliza Mahoney NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NEWARK DEPARTMENT OF HEALTH AND COMMUNITY WELLNESS/MARY ELIZA MAHONEY (NPI 1972206258) is a healthcare organization registered as a federally qualified health center (fqhc) in Newark, New Jersey and active in the NPI registry since March 2023. The organization lists Ketlen Alsbrook, Ceo & Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Newark Department Of Health And Community Wellness/mary Eliza Mahoney is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
24Medicare enrollment records show 24 clinicians reassign Medicare billing to Newark Department Of Health And Community Wellness/Mary Eliza Mahoney, which bills Medicare for the services they deliver. Of these, 16 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 5
Nearest to this location (20)
See all 24Bloomfield, NJ 07003
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 1972206258. It was assigned to this organization in the NPPES registry on March 24, 2023. The provider is doing business as Newark Department Of Health And Community Wellness/Mary Eliza Mahoney.
Where is City Of Newark located?
City Of Newark is located at 701 South Orange Avenue, Newark, NJ 07106. 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.
Is City Of Newark enrolled in Medicare?
Yes. City Of Newark is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through City Of Newark?
According to the CMS Revalidation Reassignment List (October 2026 release), 24 clinicians in 5 Medicare specialties reassign their Medicare billing to City Of Newark. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (13), Dentist (5) and Pediatric Medicine (3). Of these, 16 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does City Of Newark accept?
Health plans from Ambetter Health and Ambetter Health of Delaware list City Of Newark 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 City Of Newark was last updated on April 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Newark Department Of Health And Community Wellness/mary Eliza Mahoney · NPI 1972206258
Federally Qualified Health Center (FQHC) organization in Newark, New Jersey. Organization record, active in the CMS NPPES registry since March 24, 2023.
## Identity
- **NPI:** 1972206258 (Entity type: Organization)
- **Enumerated:** March 24, 2023
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** City Of Newark
- **Organization subpart:** No
- **Authorized official:** Ketlen Alsbrook, CEO & DIRECTOR
## Practice location
- **Address:** 701 SOUTH ORANGE AVENUE, Newark, NJ 07106-2209
- **Phone:** (800) 734-7083
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 24 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (13), Dentist (5), Pediatric Medicine (3); 16 practice within 10 miles; [full list](https://npiprofile.com/npi/1972206258/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 18, 2024
- **Other identifiers:** Medicaid 0959961 (NJ)
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Source: [NPI Profile](https://npiprofile.com/npi/1972206258) · Data from the CMS NPPES public registry.