MILESTONE ADDICTION TREATMENT LLC (NPI# 1023577731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023577731 |
| Entity Type | Organization |
| Organization Name | MILESTONE ADDICTION TREATMENT LLC |
| Practice Address |
1 S Centre St Merchantville NJ 08109-2213 |
| Practice Telephone | 8568160728 |
| Enumeration Date | 2019-03-13 |
| Last Update Date | 2019-03-13 |
| Authorized Official Name | JASON GOOBERMAN (CEO) |
| Authorized Official Telephone | 8564496159 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Street Address |
1 S CENTRE ST |
| City | MERCHANTVILLE |
| State | NJ |
| Zip Code | 08109-2213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164423406 | Phillip Aronow | Family Medicine | 1 S Centre St, Merchantville, NJ 08109-2213 | 2005-08-09 |
| 1205390622 | Merchantville Addiction Treatment LLC | Substance Abuse Rehabilitation Facility | 1 S Centre St, Merchantville, NJ 08109-2213 | 2019-01-30 |
| 1124291612 | John G Wilson | Obstetrics & Gynecology | 1 S Centre St, #201, Merchantville, NJ 08109-2213 | 2008-04-07 |
| 1194998682 | Lance L Gooberman | Internal Medicine | 1 S Centre St, #201, Merchantville, NJ 08109-2213 | 2008-04-07 |
| 1598728552 | Nita H Kothari | Pediatrics | 1 S Centre St, Suite 100, Merchantville, NJ 08109-2213 | 2006-04-10 |
| 1194788067 | Leonard F Kaplan | Pediatrics | 1 S Centre St, Suite 100, Merchantville, NJ 08109-2213 | 2006-04-10 |
| 1740243187 | Esther R Harris | Pediatrics | 1 S Centre St, Suite 100, Merchantville, NJ 08109-2213 | 2006-04-07 |
| 1568424448 | Bruce D Gooberman | Pediatrics | 1 S Centre St, Suite 100, Merchantville, NJ 08109-2213 | 2006-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730615543 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8301 Maple Ave, Pennsauken, NJ 08109 | 2017-05-11 |
| 1588085237 | Annie Nicole Fisher | Social Worker | 21 Merwit Court, Merchantville, NJ 08109 | 2013-12-26 |
| 1992013437 | Reliable Resources LLC | In Home Supportive Care | 211 West End Ave, Merchantville, NJ 08109 | 2010-09-17 |
| 1184942351 | Matt Lobel | Pharmacist | 14 South Cenre Street, Merchantville, NJ 08109 | 2010-05-12 |
| 1063662187 | Life At Lourdes Inc | PACE Provider Organization | 2475 Mcclellan Avenue, Pennsauken, NJ 08109 | 2008-09-25 |
| 1376712786 | Pinnacle Treatment Centers Nj IIi LLC | Clinic/Center | 7980 S Crescent Boulevard, Pennsauken, NJ 08109 | 2008-02-29 |
| 1043488851 | Karen Claytor | Physical Therapist | 2626 Mandall Ave, Pennsauken, NJ 08109 | 2008-02-14 |
| 1235334814 | Marian W Mote | Nurse Practitioner | Merchantville Pediatrics- A Division of Cha, 1 S. Centre Street, Suite 100, Merchantville, NJ 08109 | 2007-06-15 |
| 1386865905 | Enrico Doganiero | Pharmacist | 6338 Browning Rd, Pennsauken, NJ 08109 | 2007-05-01 |
| 1710008164 | Michele Jo Hain | Physical Therapist | 6981 N Park Drive, Suite 102, Pennsaukin, NJ 08109 | 2007-04-03 |
| Find all providers in zip 08109 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205390622 | Merchantville Addiction Treatment LLC | Substance Abuse Rehabilitation Facility | 1 S Centre St, Merchantville, NJ 08109-2213 | 2019-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051367 | Elev8 Centers of New Jersey | Substance Abuse Rehabilitation Facility | 20 Toler Pl, Newark, NJ 07114-1431 | 2020-10-21 |
| 1982218228 | New Pathway Counseling Services | Substance Abuse Rehabilitation Facility | 20 Powers Dr, Paramus, NJ 07652-2911 | 2020-09-03 |
| 1790308708 | John Brooks Recovery Center, A New Jersey Nonprofit Corporation | Substance Abuse Rehabilitation Facility | 1455 Pinewood Blvd, Mays Landing, NJ 08330 | 2020-05-26 |
| 1891318077 | The Shore Detox LLC | Substance Abuse Rehabilitation Facility | 30 W Jimmie Leeds Rd, Galloway, NJ 08205-9421 | 2020-05-22 |
| 1619598968 | Mountainside - Ramsey | Substance Abuse Rehabilitation Facility | 500 N Franklin Tpke Ste 304, Ramsey, NJ 07446-1160 | 2020-04-28 |
| 1184244691 | Seabrook House, Inc. | Substance Abuse Rehabilitation Facility | 223 Polk Ln, Bridgeton, NJ 08302-5904 | 2020-04-24 |
| 1922628502 | Seabrook House, Inc. | Substance Abuse Rehabilitation Facility | 101 Madison Ave Ste 205, Morristown, NJ 07960-7305 | 2020-04-23 |
| 1760002331 | Seabrook House, Inc. | Substance Abuse Rehabilitation Facility | 1930 Marlton Pike E Ste O77, Cherry Hill, NJ 08003-4204 | 2020-04-23 |
| 1396376018 | Cooper Center for Healing and Recovery, LLC | Substance Abuse Rehabilitation Facility | 761 Cuthbert Blvd, Cherry Hill, NJ 08002-3417 | 2020-01-31 |
| 1295395408 | Coleman Addiction Medicine, P.C. | Substance Abuse Rehabilitation Facility | 23-00 State Rt 208 Ste 1-1, Fair Lawn, NJ 07410-1558 | 2019-06-19 |
| Find all providers with the same taxonomy | ||||
| City | MERCHANTVILLE |
| Zip Code | 08109 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.