Healthcare Provider Details

I. General information

NPI: 1285778951
Provider Name (Legal Business Name): THE NORTH WARD CENTER, INC,
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/16/2007
Last Update Date: 03/08/2025
Certification Date: 03/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

288 -298 MOUNT PROSPECT AVE
NEWARK NJ
07104-2008
US

IV. Provider business mailing address

288 MOUNT PROSPECT AVE # 298
NEWARK NJ
07104-2008
US

V. Phone/Fax

Practice location:
  • Phone: 973-481-6145
  • Fax: 973-481-1573
Mailing address:
  • Phone: 973-481-6145
  • Fax: 973-481-1573

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License NumberYG153X
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. YESSENIA D ALVAREZ- VERA
Title or Position: ADMINISTRATOR
Credential: MSW
Phone: 973-481-6145