MARYVILLE, INC. (NPI# 1205058567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205058567 |
| Entity Type | Organization |
| Organization Name | MARYVILLE, INC. |
| Practice Address |
567 Salem-quinton Rd Salem NJ 08079 |
| Practice Telephone | 8569359305 |
| Practice Fax Number | 8569359269 |
| Mailing Telephone | 8569359305 |
| Mailing Fax Number | 8569359269 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2010-04-07 |
| Authorized Official Name | MR. JAMES O'BRIEN (CEO) |
| Authorized Official Telephone | 2562272717 |
| Authorized Official Credential | MSW, LCADC |
| Is Organization Subpart | Y |
| Parent Organization Name | MARYVILLE, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
23016 | NJ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 7632401 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457573842 | Maryville, Inc. | Clinic/Center | 1173 East Landis Ave, Vineland, NJ 08360 | 2007-05-03 |
| 1801018361 | Maryville, Inc. | Substance Abuse Rehabilitation Facility | 1903 Grant Ave, Williamstown, NJ 08094 | 2007-05-03 |
| Street Address |
567 SALEM-QUINTON RD |
| City | SALEM |
| State | NJ |
| Zip Code | 08079 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366005829 | Fresenius Medical Care Salem, LLC | Clinic/Center | 5 New Jersey Route 45, Salem, NJ 08079 | 2019-04-19 |
| 1750750071 | The Arc of Salem County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 150 Salem Woodstown Rd, Salem, NJ 08079 | 2015-09-16 |
| 1730347964 | Josephine M Santiago | Registered Nurse | 310 Woodstown Rd., Salem, NJ 08079 | 2008-05-23 |
| 1033394895 | Samia Fatima Mian | Internal Medicine | 5 Route 45 Ste 101, Mannington, NJ 08079 | 2007-12-28 |
| 1619165891 | Fouad K. Michail | Ophthalmology | 330 Salem Woodstown Rd Rt 45, Suite 5, Salem, NJ 08079 | 2007-10-12 |
| 1649399486 | Womens Health Providers LLC | Clinic/Center | 330 Salem Woodstown Road, Suite#6, Salem, NJ 08079 | 2007-03-29 |
| 1346378213 | Cooper Pediatrics | Pediatrics | 330 Woodstown Road., Medical Arts Bldg 7, Salem, NJ 08079 | 2007-03-01 |
| 1932256278 | The Surgery Center of Salem County LLC | Clinic/Center | 336 Woodstown Rd., Salem, NJ 08079 | 2007-01-05 |
| 1285725713 | The Surgery Center of Salem County LLC | Clinic/Center | 336 Woodstown Rd, Salem, NJ 08079 | 2006-09-28 |
| 1699873463 | Wamiq Sultan | Internal Medicine | 310 Woodstown Road, Salem, NJ 08079 | 2006-09-20 |
| Find all providers in zip 08079 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
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| 1336287010 | Seasons Counseling, Inc | Clinic/Center | 730 Hawthorne Ave Ne, Salem, OR 97301-4674 | 2007-02-02 |
| 1578528915 | Pacific Recovery Inc | Clinic/Center | 1235 Woodrow Ne, Salem, OR 97303 | 2006-04-19 |
| 1710462981 | Services To Overcome Drug Abuse Among Teenagers, Inc. | Clinic/Center | 75 Market St, Salem, NJ 08079-1918 | 2018-10-03 |
| 1396251229 | Crossroads Recovery Center | Clinic/Center | 155 Main St, Salem, NH 03079-3196 | 2017-12-14 |
| 1013363910 | Jd Health and Wellness Center | Clinic/Center | 608 Lancaster Dr Se, Salem, OR 97317-5643 | 2016-05-10 |
| 1104163658 | Services To Overcome Drug Abuse Among Teenagers | Clinic/Center | 75 Market St, Salem, NJ 08079-1918 | 2013-01-03 |
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| 1588289615 | Camden County Suboxone LLC | Clinic/Center | 8 Somerdale Sq, Somerdale, NJ 08083-1345 | 2020-06-15 |
| 1558905380 | Grace Community Development Center | Clinic/Center | 100 Melville Ln, Willingboro, NJ 08046-2912 | 2019-11-05 |
| 1740822121 | The Empowerment House, Non Profit Inc. | Clinic/Center | 1314 S Clinton Ave, Trenton, NJ 08611-1436 | 2019-10-17 |
| 1265088892 | Absolute Awakenings Treatment Center LLC | Clinic/Center | 3000 Route 10 West, Denville, NJ 07834 | 2019-08-09 |
| 1326607243 | Recovery Zone Solutions, LLC | Clinic/Center | 124 East Main Street, Ste#109, Denville, NJ 07834 | 2019-06-13 |
| 1720644800 | Ars Treatment Centers of New Jersey, PC | Clinic/Center | 4 Murray Grove Ln, Lanoka Harbor, NJ 08734-2837 | 2019-05-14 |
| 1184182230 | Turning Point, Inc. | Clinic/Center | 101 Prospect St Ste 210, Lakewood, NJ 08701-5003 | 2019-03-07 |
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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.