ELEV8 CENTERS OF NEW JERSEY (NPI# 1467051367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467051367 |
| Entity Type | Organization |
| Organization Name | ELEV8 CENTERS OF NEW JERSEY |
| Practice Address |
20 Toler Pl Newark NJ 07114-1431 |
| Practice Telephone | 3473426633 |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2020-10-21 |
| Authorized Official Name | RAMSEY JOUDEH (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 3473426633 |
| Authorized Official Credential | MD |
| 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 |
20 TOLER PL |
| City | NEWARK |
| State | NJ |
| Zip Code | 07114-1431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417288 | Ariane Monique Chua Dequina | Registered Nurse | 340 Airis Drive, Newark, NJ 07114 | 2020-11-04 |
| 1235746553 | Ellen Smith | Nurse Practitioner | 340 Airis Dr., Suite 203, Newark, NJ 07114 | 2020-09-30 |
| 1760097018 | Joslainez Gonzalo | Social Worker | 47 Miller Street, Newark, NJ 07114 | 2020-09-14 |
| 1497116156 | Berdine Macasero | Nurse Practitioner | Newark Liberty Airport, Terminal C, Room #136, Newark, NJ 07114 | 2016-03-09 |
| 1164813218 | Eugene F Vane Jr. | Dentist | 168 Frontage Road, Newark, NJ 07114 | 2015-02-11 |
| 1356769277 | Jewish Renaissance Medical Center, Inc. | Clinic/Center | 258-380 Verona Avenue, Newark, NJ 07114 | 2014-03-29 |
| 1871886549 | Debora Gildin | Nurse Practitioner | Continental Airline's Take-care Health Center, Newark International Airport Terminal C, Suite 136, Newark, NJ 07114 | 2011-05-27 |
| 1871890079 | Ewr Medport | Clinic/Center | 339 Brewster Rd, Ste 201, Newark, NJ 07114 | 2011-02-24 |
| 1023331337 | Jeffrey Witz | Chiropractor | Newark Liberty International Airport, Bldg 339 Ste 201, Newark, NJ 07114 | 2010-03-02 |
| 1073794244 | Amelita Escalona Canubida | Nurse Practitioner | Newark International Airport, Terminal C, Room 136, Newark, NJ 07114 | 2007-11-16 |
| Find all providers in zip 07114 | ||||
| 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 |
|---|---|---|---|---|
| 1548736838 | Integrity, Inc | Substance Abuse Rehabilitation Facility | 101 Lincoln Park, 2nd Floor, Newark, NJ 07102 | 2018-10-15 |
| 1285118679 | A Center for Mental Wellness Community Support Programs, LLC | Substance Abuse Rehabilitation Facility | 25 S. Old Baltimore Pike, Lafayette Building 1, Suite 201, Newark, DE 19702 | 2018-09-20 |
| 1396249264 | Integrity, Inc | Substance Abuse Rehabilitation Facility | 49 Lincoln Park, Newark, NJ 07102 | 2018-03-23 |
| 1578074357 | Integrity, Inc | Substance Abuse Rehabilitation Facility | 37 Lincoln Park, Newark, NJ 07102-2390 | 2017-10-19 |
| 1497266266 | Integrity, Inc | Substance Abuse Rehabilitation Facility | 99 Lincoln Park, Newark, NJ 07102-2388 | 2017-10-19 |
| 1548771892 | Integrity, Inc | Substance Abuse Rehabilitation Facility | 105 Lincoln Park, Newark, NJ 07102-2388 | 2017-10-13 |
| 1609320258 | Comunidad Unida Para La Rehabilitacion De Adictos | Substance Abuse Rehabilitation Facility | 75 Lincoln Park, Newark, NJ 07102-2303 | 2016-08-12 |
| 1699123729 | Comunidad Unida Para La Rehabilitacion De Adictos | Substance Abuse Rehabilitation Facility | 61 Lincoln Park, Newark, NJ 07102-2390 | 2016-05-31 |
| 1346634714 | Angel Hope House | Substance Abuse Rehabilitation Facility | 800 Clinton Ave, Newark, NJ 07108-1004 | 2015-03-24 |
| 1780923193 | Integrity, Inc | Substance Abuse Rehabilitation Facility | 43 Lincoln Park, Newark, NJ 07102-2390 | 2013-02-05 |
| Find all providers in NEWARK | ||||
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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.