ADVOSERV OF NEW JERSEY, INC. (NPI# 1497244099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497244099 |
| Entity Type | Organization |
| Organization Name | ADVOSERV OF NEW JERSEY, INC. |
| Practice Address |
112 Branch Rd Bridgewater NJ 08807-2115 |
| Mailing Address |
510 Heron Dr Ste 114 Swedesboro NJ 08085-1767 |
| Practice Telephone | 8562413320 |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2018-05-09 |
| Authorized Official Name | MICHAEL WILDER (SENIOR VP OF OPERATIONS) |
| Authorized Official Telephone | 8562413320 |
| Authorized Official Credential | MHSA |
| Is Organization Subpart | Y |
| Parent Organization Name | ADVOSERV OF NEW JERSEY, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0463591 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225593098 | Advoserv of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 340 S Branch Rd Ste 440, Hillsborough, NJ 08844-3433 | 2019-02-06 |
| 1073099669 | Advoserv of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 56 Brophy Dr, Ewing, NJ 08638-1241 | 2018-07-17 |
| 1972089753 | Advoserv of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1144 River Rd, Ewing, NJ 08628-2106 | 2018-07-16 |
| 1578055216 | Advoserv of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2 S Hook Rd, Pennsville, NJ 08070-2359 | 2018-05-30 |
| 1750870358 | Advoserv of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1155 Glenwood Ct, Vineland, NJ 08361-8510 | 2018-05-09 |
| 1932698537 | Advoserv of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 350 Tomlin Station Rd, Gibbstown, NJ 08027-1261 | 2018-05-09 |
| 1679062392 | Advoserv of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 21 Castle Dr, Pennsville, NJ 08070-2419 | 2018-05-08 |
| 1649769373 | Advoserv of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1036 Mcclain Dr, Vineland, NJ 08361-6138 | 2018-05-08 |
| 1205325933 | Advoserv of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 131 E Weymouth Rd, Buena, NJ 08310-1208 | 2018-05-08 |
| 1649769365 | Advoserv of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 76 Federal City Rd, Ewing, NJ 08638-1323 | 2018-05-08 |
| Street Address |
112 BRANCH RD |
| City | BRIDGEWATER |
| State | NJ |
| Zip Code | 08807-2115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801403175 | Visions and Pathways | Counselor | 49 Brahma Avenue, Bridgewater, NJ 08807 | 2020-09-30 |
| 1689215600 | An Angel At Hand Inc. | Case Manager/Care Coordinator | 1200 Us Highway 22 East Suite 2000, Bridgewater, NJ 08807 | 2019-10-01 |
| 1407407877 | Advanced Dental Care At Bridgewater LLC | Clinic/Center | 678 Us 206 Building 5 Unit 8, Bridgewater, NJ 08807 | 2019-09-26 |
| 1619525201 | Marian Basaly | Pharmacist | 353 Us-202 #206, Bridgewater Township, NJ 08807 | 2019-08-28 |
| 1316509169 | Ashtin Elizabeth Helmer | Physician Assistant | 766 Us-206, Bridgewater Township, NJ 08807 | 2019-07-02 |
| 1770142770 | Lisa Farrington-rankins | Case Manager/Care Coordinator | 1200 Us Highway 22 Ste 2000, Bridgewater, NJ 08807 | 2019-06-12 |
| 1841753506 | Nj Support Services, LLC | Community/Behavioral Health | 726 Route 202 South, Suite 320-107, Bridgewater, NJ 08807 | 2019-04-10 |
| 1518434562 | Alyssa Olsen | Occupational Therapist | 377 Union Avenue, Bridgwater, NJ 08807 | 2018-10-29 |
| 1689151136 | Ask Transportation Services LLC | Non-emergency Medical Transport (VAN) | 991 Highway 22, Suite 200, Bridgewater, NJ 08807 | 2018-07-26 |
| 1114427069 | Jamie On Optometry LLC | Optometrist | Lenscrafters At Macys, 400 Commons Way, Bridgewater, NJ 08807 | 2018-02-16 |
| Find all providers in zip 08807 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104483213 | Premier Supports, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 190a Finderne Ave, Bridgewater, NJ 08807-3038 | 2019-05-23 |
| 1437716545 | Premier Supports, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 190b Finderne Ave, Bridgewater, NJ 08807-3038 | 2019-05-23 |
| 1376050443 | Keystone Community Living, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 44 Fairmount Ave, Bridgewater, NJ 08807-3156 | 2018-01-10 |
| 1083121065 | A.w. Holdings, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 946 7th Ave, Bridgewater, NJ 08807-3748 | 2017-12-29 |
| 1952818940 | A.w. Holdings, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 950 7th Ave, Bridgewater, NJ 08807-3718 | 2017-12-29 |
| 1295242287 | A.w. Holdings, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 13 Thruway Dr, Bridgewater, NJ 08807-1640 | 2017-12-29 |
| 1831606821 | A.w. Holdings, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4008 Riddle Ct, Bridgewater, NJ 08807-5558 | 2017-12-29 |
| 1326554338 | A.w. Holdings, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 201 Helfreds Lndg, Bridgewater, NJ 08807-1552 | 2017-12-28 |
| 1104343938 | The Arc of Somerset County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 18 4th Ave Apt 1, Bridgewater, NJ 08807-2004 | 2017-08-23 |
| 1639696552 | The Arc of Somerset County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 18 4th Ave Apt 2, Bridgewater, NJ 08807-2004 | 2017-08-23 |
| Find all providers in BRIDGEWATER | ||||
| City | BRIDGEWATER |
| Zip Code | 08807 |
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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.