OAKS INTEGRATED CARE (NPI# 1437677309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437677309 |
| Entity Type | Organization |
| Organization Name | OAKS INTEGRATED CARE |
| Practice Address |
19 Evergreen Trl Medford NJ 08055-9342 |
| Mailing Address |
770 Woodlane Rd # Rdq Westampton NJ 08060-3804 |
| Practice Telephone | 6092675928 |
| Enumeration Date | 2017-08-31 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | QINDI SHI (CFO) |
| Authorized Official Telephone | 6092675928 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | PENDING | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376045377 | Oaks Integrated Care | Community/Behavioral Health | 770 Woodlane Rd Ste 65, Westampton, NJ 08060-3805 | 2018-03-06 |
| 1497253470 | Oaks Integrated Care | Clinic/Center | 1680 Gardner St Unit 5, Vineland, NJ 08361-7580 | 2018-01-25 |
| 1306344387 | Oaks Integrated Care | Clinic/Center | 1680 Gardner St Unit 4a, Vineland, NJ 08361-7580 | 2018-01-25 |
| 1033617014 | Oaks Integrated Care | Clinic/Center | 1680 Gardner St Unit 4b, Vineland, NJ 08361-7580 | 2018-01-25 |
| 1871091850 | Oaks Integrated Care | Clinic/Center | 2880 E Landis Ave Unit B, Vineland, NJ 08361-3048 | 2018-01-25 |
| 1659879815 | Oaks Integrated Care | Clinic/Center | 102 Lucas Ln, Voorhees, NJ 08043-2549 | 2018-01-23 |
| 1821596081 | Oaks Integrated Care | Clinic/Center | 306 Lucas Ln, Voorhees, NJ 08043-2551 | 2018-01-23 |
| 1902304165 | Oaks Integrated Care | Clinic/Center | 606 Lucas Ln, Voorhees, NJ 08043-2554 | 2018-01-23 |
| 1487152641 | Oaks Integrated Care | Clinic/Center | 95a Sumac Ct, Mount Laurel, NJ 08054-3614 | 2018-01-23 |
| 1275031437 | Oaks Integrated Care | Clinic/Center | 2102 Sandra Rd, Voorhees, NJ 08043-2069 | 2018-01-23 |
| Street Address |
19 EVERGREEN TRL |
| City | MEDFORD |
| State | NJ |
| Zip Code | 08055-9342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679995377 | Mohammed Dukuly | Counselor | 19 Evergreen Trl, Medford, NJ 08055-9342 | 2014-01-14 |
| 1215334685 | Jesse Collins | Counselor | 19 Evergreen Trl, Medford, NJ 08055-9342 | 2014-12-01 |
| 1730585399 | Flossie Mcdaniels | Counselor | 19 Evergreen Trl, Medford, NJ 08055-9342 | 2014-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215406459 | Natalia Eltabaa | Nurse Practitioner | 143b Atsion Rd, Medford, NJ 08055 | 2018-11-16 |
| 1922574326 | Emily G Wilkins | Psychiatry & Neurology | 239 Taunton, A-2, Medford, NJ 08055 | 2018-10-23 |
| 1508348863 | Gerald D Mingin Jr. | Psychologist | 135 Eayrestown Rd. Suite A, Southampton, NJ 08055 | 2018-09-04 |
| 1316465750 | Gabriella Marie Francis | Specialist/Technologist | 133 Apache Trail, Medford Lakes, NJ 08055 | 2017-09-06 |
| 1265968572 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 609 Eugenia, Medford, NJ 08055 | 2017-05-05 |
| 1326574690 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1503 Cedar Dr, Medford, NJ 08055 | 2017-05-05 |
| 1780110007 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1610 Cedar Dr, Medford, NJ 08055 | 2017-05-05 |
| 1902332216 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1909 Cedar Dr, Medford, NJ 08055 | 2017-05-05 |
| 1083140396 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 503 Eugenia Dr, Medford, NJ 08055 | 2017-05-05 |
| 1457887762 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 905 Eugenia Dr, Medford, NJ 08055 | 2017-05-05 |
| Find all providers in zip 08055 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
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| 1083276836 | Hopefull Therapy and Consulting LLC | Clinic/Center | 145 Witherspoon St Ste A4, Princeton, NJ 08542-3228 | 2019-07-02 |
| 1295297372 | Paper and Pencil Bookkeeping | Clinic/Center | 3 Warren Dr, Morristown, NJ 07960-4712 | 2019-04-05 |
| Find all providers with the same taxonomy | ||||
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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.