MANE STREAM, INC.


Address: 83 Old Turnpike Road, Oldwick, NJ 08858-0081
Phone: 9084399636

MANE STREAM, INC. (NPI# 1245623263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245623263
Entity Type Organization
Organization Name MANE STREAM, INC.
Practice Address 83 Old Turnpike Road
Oldwick
NJ 08858-0081
Mailing Address Po Box 305
Oldwick
NJ 08858-0305
Practice Telephone 9084399636
Practice Fax Number 9084392338
Mailing Telephone 9084399636
Mailing Fax Number 9084392338
Enumeration Date 2015-03-16
Last Update Date 2015-03-16
Authorized Official Name MS. GINA TAYLOR (DIRECTOR OF THERAPY SERVICES)
Authorized Official Telephone 9084399636
Authorized Official Credential MS OT
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0400X Clinic/Center
Specialization: Rehabilitation
Ambulatory Health Care Facilities

Office Location

Street Address 83 OLD TURNPIKE ROAD
City OLDWICK
State NJ
Zip Code 08858-0081

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NPI Name Taxonomy Address Enumeration
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1558460006 Stephanie Haymaker Psychologist 48 Old Turnpike Rd, Oldwick, NJ 08858 2006-09-21
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1184776858 James Lawrence Farmer Psychologist 48 Old Turnpike Rd, Oldwick, NJ 08858 2007-01-16
1629129440 Virginia S Walters Psychologist 48 Old Turnpike Rd, Oldwick, NJ 08858 2007-01-16
1689731523 Deborah Z. Libero Psychologist 48 Old Turnpike Rd., Oldwick, NJ 08858 2007-01-02
1659445807 Douglas Haymaker Psychologist 48 Old Turnpike Rd, Oldwick, NJ 08858 2006-11-20
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Taxonomy Information

Taxonomy Code 261QR0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation

Taxonomy Definition

Definition to come...

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1477935146 Bancroft Neurohealth Clinic/Center 1433 Hooper Ave Ste 131, Toms River, NJ 08753-2238 2015-06-18
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Competitor

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City OLDWICK
Zip Code 08858

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Dataset Information

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.

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