STATE OF NEW JERSEY OMB CENTRALIZED PAYROLL


Address: 301 Spring Garden Rd, Hammonton, NJ 08037-2516
Phone: 6095611700

STATE OF NEW JERSEY OMB CENTRALIZED PAYROLL (NPI# 1629155502) 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) 1629155502
Entity Type Organization
Organization Name STATE OF NEW JERSEY OMB CENTRALIZED PAYROLL
Other Organization Name ANCORA PSYCHIATRIC HOSPITAL
Practice Address 301 Spring Garden Rd
Hammonton
NJ 08037-2516
Mailing Address 301 Spring Garden Rd
Hammonton
NJ 08037-9699
Practice Telephone 6095611700
Practice Fax Number 6095611858
Mailing Telephone 6095611700
Mailing Fax Number 6095611858
Enumeration Date 2006-10-31
Last Update Date 2014-07-01
Authorized Official Name DR. DAVID ROAT (MEDICAL DIRECTOR)
Authorized Official Telephone 6095677300
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 283Q00000X Psychiatric Hospital Hospitals

Other Provider Identifier

State Issuer Identifier Type Code
NJ MEDICARE BILLING GROUP 692705 01

Other Provider/Organization Names

Other Name Type Code
Ancora Psychiatric Hospital Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1487680294 State of New Jersey Omb Centralized Payroll Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1275 Rahway Avenue, Avenel, NJ 07095-0189 2006-06-23
1255375929 State of New Jersey Omb Centralized Payroll Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities Rte 72 East, New Lisbon, NJ 08064-0130 2006-06-15
1811931504 State of New Jersey Omb Centralized Payroll Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 40 Pittstown Rd, Clinton, NJ 08809-1209 2006-06-15
1588607725 State of New Jersey Omb Centralized Payroll Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1676 E Landis Ave, Vineland, NJ 08362-1513 2006-06-14
1225077290 State of New Jersey Omb Centralized Payroll Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 275 Greenbrook Rd, Green Brook, NJ 08812-2223 2006-06-05
1922046903 State of New Jersey Omb Centralized Payroll Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 169 Minnisink Rd, Totowa, NJ 07512-1803 2006-06-03
1982642641 State of New Jersey Omb Centralized Payroll Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1175 Dehirsch Ave, Woodbine, NJ 08270-2401 2006-06-03
1356734271 State of New Jersey Omb Centralized Payroll Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 275 Greenbrook Rd, Green Brook, NJ 08812-2223 2015-03-17
1528239274 State of New Jersey Omb Centralized Payroll Skilled Nursing Facility 132 Evergreen Rd, Edison, NJ 08837-2484 2008-03-20
1336221878 State of New Jersey Omb Centralized Payroll Psychiatric Hospital 59 Koch Ave, Morris Plains, NJ 07950-4400 2006-10-20

Office Location

Street Address 301 SPRING GARDEN RD
City HAMMONTON
State NJ
Zip Code 08037-2516

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912987009 Brian Little Internal Medicine 301 Spring Garden Rd, Hammonton, NJ 08037-2516 2006-01-17
1356948327 Abiola O Saba Nurse Practitioner 301 Spring Garden Rd, Hammonton, NJ 08037-2516 2020-10-02
1205393360 Ngozi Azu Nurse Practitioner 301 Spring Garden Rd, Hammonton, NJ 08037-9699 2019-02-25
1992273700 Yardley Ann Costa Nurse Practitioner 301 Spring Garden Rd, Hammonton, NJ 08037-9699 2018-11-09
1891170361 William Lobach Counselor 301 Spring Garden Rd, Hammonton, NJ 08037-2516 2015-07-27
1962881110 Partners Pharmacy LLC Pharmacy 301 Spring Garden Rd, Hammonton, NJ 08037-2516 2015-05-20
1841686516 Maura Desmond Social Worker 301 Spring Garden Rd, Hammonton, NJ 08037-2516 2015-04-09
1609283498 John Peter Eckert Jr. Specialist 301 Spring Garden Rd, Hammonton, NJ 08037-2516 2014-07-14
1700180270 Ancora Psychiatric Hospital Psychiatric Hospital 301 Spring Garden Rd, Hammonton, NJ 08037-2516 2010-12-27
1396983532 Jamal Mahmud Psychiatry & Neurology 301 Spring Garden Rd, Hammonton, NJ 08037-2516 2009-01-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497312532 Hope On Wheels LLC Transportation Broker 882 12th Street, 882 12th Street D5, Hammonton, NJ 08037 2019-05-23
1679050389 Lori's Wellness Loft Massage Therapist 240 S White House Pike, Suite B4, Hammonton, NJ 08037 2018-07-25
1306364773 Elwyn New Jersey Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 2404 4th Road, Folsom, NJ 08037 2017-09-06
1376070003 Elwyn New Jersey Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1204 11th Street, Folsom, NJ 08037 2017-05-12
1881138154 Kennedy Medical Group Practice P.C. Family Medicine 630 B South White Horse Pike, Hammonton, NJ 08037 2016-12-06
1467908350 John Lloyd Jr. Counselor 63 Laurel Lane, Hammonton, NJ 08037 2016-08-30
1407218019 Karon Ross Counselor 44 Fern Lane, Hammonton, NJ 08037 2016-03-23
1396106548 Helen Durham Counselor 61 Laurel Lane, Hammonton, NJ 08037 2016-03-16
1972994481 Person First New Jersey LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 14 Heggan Ln, Heggan Ln, Hammonton, NJ 08037 2015-02-05
1659702298 Alienta Limited Liability Company Community/Behavioral Health 425 N Third Street, Hammonton, NJ 08037 2013-12-09
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Taxonomy Information

Taxonomy Code 283Q00000X
Grouping Hospitals
Classification Psychiatric Hospital

Taxonomy Definition

An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.
Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700180270 Ancora Psychiatric Hospital Psychiatric Hospital 301 Spring Garden Rd, Hammonton, NJ 08037-2516 2010-12-27
1104967520 Eddy O. Ortega Psychiatric Hospital 301 Spring Garden Rd, Hammonton, NJ 08037-2516 2007-02-09
1417011404 Luz S Adkins Psychiatric Hospital 301 Spring Garden Rd, Hammonton, NJ 08037-2516 2006-12-21
1578622437 Veena V. Chheda Psychiatric Hospital 301 Spring Garden Rd, Hammonton, NJ 08037-2516 2006-12-07

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1275158529 Retreat & Recovery At Ramapo Valley Psychiatric Hospital 1071 Ramapo Valley Rd, Mahwah, NJ 07430 2020-06-12
1639546930 Clear Conscience Counseling Psychiatric Hospital 214 Brennan Ct, South Plainfield, NJ 07080-3974 2015-08-21
1750794061 Trinitas Regional Medical Center Psychiatric Hospital 119 E 13th St, Linden, NJ 07036-3314 2014-06-04
1770717100 Manhattan Psy.ctr Psychiatric Hospital 346 Mercer Loop, Jersey City, NJ 07302-3235 2009-05-13
1891817433 Princeton Medical Center Psychiatric Hospital 351 New Albany Rd, Moorestown, NJ 08057-1117 2007-04-04
1053470047 Hudson Co Board of Chosen Freehold Admin Psychiatric Hospital 595 County Ave Bldg 10, Secaucus, NJ 07094-2605 2006-12-06
1851474647 Ann Klein Forensic Center Psychiatric Hospital 1609 Stuyvesant Ave., Box 7717, West Trenton, NJ 08628 2006-10-23
1720170087 Kingsboro Psychiatric Center Psychiatric Hospital 24 Laurel Avenue, Tenafly, NJ 07670 2006-09-28
1689682478 U.S. Dept. of Veterans Affairs Psychiatric Hospital 155 Knollcroft Rd, Building 143,room Wii8, Lyons, NJ 07939-5001 2006-08-04
1457324196 Uhs of Hampton Inc Psychiatric Hospital 650 Rancocas Rd, Westampton, NJ 08060-5613 2006-02-13
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Competitor

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City HAMMONTON
Zip Code 08037

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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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