VISIONQUEST OF NEW JERSEY (NPI# 1033279914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033279914 |
| Entity Type | Organization |
| Organization Name | VISIONQUEST OF NEW JERSEY |
| Practice Address |
108 Route 72 New Lisbon NJ 08064-0370 |
| Mailing Address |
108 Route 72 New Lisbon NJ 08064 |
| Practice Telephone | 6098944826 |
| Practice Fax Number | 6098948109 |
| Mailing Telephone | 6098944826 |
| Mailing Fax Number | 6098948109 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2014-07-09 |
| Authorized Official Name | DR. BETH ANN ROSICA (VICE PRESIDENT - SERVICE DELIVERY) |
| Authorized Official Telephone | 6104862280 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | VISIONQUEST NATIONAL LTD. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | 0019666 | NJ | Agencies |
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 1670 | NJ | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0182320 | 05 | |
| NJ | 0166715 | 05 |
| Street Address |
108 ROUTE 72 |
| City | NEW LISBON |
| State | NJ |
| Zip Code | 08064-0370 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275919300 | Willowglen Academy-new Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 37 Employee Lane, New Lisbon, NJ 08064 | 2015-07-30 |
| 1801271572 | Willowglen Academy-new Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 38 Employee Lane, New Lisbon, NJ 08064 | 2015-07-23 |
| 1104205574 | Partners Pharmacy LLC | Pharmacy | 104 Route 72, New Lisbon, NJ 08064 | 2015-05-19 |
| 1306052733 | Post House-county of Burlington | Substance Abuse Rehabilitation Facility | 610 Pemberton Browns Mills Road, New Lisbon, NJ 08064 | 2007-05-15 |
| 1801977533 | Essam El-harazy | Internal Medicine | Nldc Route 72, New Lisbon, NJ 08064 | 2006-10-18 |
| 1659460509 | Sangeeta Buddala | Internal Medicine | Rt. 72 East, New Lisbon Developmental Center, New Lisbon, NJ 08064 | 2006-10-11 |
| 1801980008 | Prince G Kottiath | Internal Medicine | Route 72, New Lisbon Developmental Center, Health Services, New Lisbon, NJ 08064 | 2006-10-03 |
| 1770688038 | Keith James Keefer | Family Medicine | Rt 72 E, New Lisbon, NJ 08064 | 2006-09-13 |
| 1932172962 | County of Burlington | Psychiatric Hospital | 600 Pemberton-browns Mills Road, New Lisbon, NJ 08064 | 2006-02-09 |
| 1588900658 | Neil Benson | Dentist | Route 72, New Lisbon Developmental Center, Attn Dental Department, New Lisbon, NJ 08064 | 2012-12-18 |
| Find all providers in zip 08064 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528667284 | Fordham-lewis Consulting, L.L.C. | Community Based Residential Treatment Facility, Mental Illness | 1253 Inwood Ter, Fort Lee, NJ 07024-1741 | 2020-10-22 |
| 1891307047 | Royalty Family Services LLC | Community Based Residential Treatment Facility, Mental Illness | 4 Acorn Ct, Sicklerville, NJ 08081-9251 | 2020-08-19 |
| 1194368415 | Ginger Jones Jackson | Community Based Residential Treatment Facility, Mental Illness | 162 S Clinton St, East Orange, NJ 07018-3040 | 2019-10-18 |
| 1831741479 | Acenda, Inc. | Community Based Residential Treatment Facility, Mental Illness | 119 Rte 47 N, Cape May Court House, NJ 08210-1714 | 2019-07-14 |
| 1104478742 | Acenda, Inc. | Community Based Residential Treatment Facility, Mental Illness | 60 Taras Ave, Westville, NJ 08093-2303 | 2019-07-14 |
| 1841842481 | Acenda, Inc. | Community Based Residential Treatment Facility, Mental Illness | 767 Washington Ave, Woodbury, NJ 08096-3546 | 2019-07-14 |
| 1487206025 | Acenda, Inc. | Community Based Residential Treatment Facility, Mental Illness | 731 Rattling Run Rd, Mickleton, NJ 08056-1423 | 2019-07-14 |
| 1669024204 | Acenda, Inc. | Community Based Residential Treatment Facility, Mental Illness | 244 Tomlin Station Rd, Mullica Hill, NJ 08062-1607 | 2019-07-14 |
| 1659923290 | Acenda, Inc. | Community Based Residential Treatment Facility, Mental Illness | 3910 Bayshore Rd Apt I11, North Cape May, NJ 08204-3662 | 2019-07-14 |
| 1699233973 | Raviko Group LLC | Community Based Residential Treatment Facility, Mental Illness | 351 Myrtle St, Cliffwood, NJ 07721-1215 | 2019-03-06 |
| Find all providers with the same taxonomy | ||||
| City | NEW LISBON |
| Zip Code | 08064 |
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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.