Provider Demographics
NPI:1427475920
Name:HEALTHFIRST HEALTH PLAN OF NEW JERSEY
Entity type:Organization
Organization Name:HEALTHFIRST HEALTH PLAN OF NEW JERSEY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TERENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:BYRD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-209-6499
Mailing Address - Street 1:1 WASHINGTON PARK
Mailing Address - Street 2:SUITE 1405
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07102-3122
Mailing Address - Country:US
Mailing Address - Phone:212-209-6499
Mailing Address - Fax:
Practice Address - Street 1:1 WASHINGTON PARK
Practice Address - Street 2:SUITE 1405
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07102-3122
Practice Address - Country:US
Practice Address - Phone:212-209-6499
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-21
Last Update Date:2014-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization