ADVOSERV OF NEW JERSEY, INC. (NPI# 1649769365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649769365 |
| Entity Type | Organization |
| Organization Name | ADVOSERV OF NEW JERSEY, INC. |
| Practice Address |
76 Federal City Rd Ewing NJ 08638-1323 |
| Mailing Address |
510 Heron Dr Ste 114 Swedesboro NJ 08085-1767 |
| Practice Telephone | 8562413320 |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2018-05-08 |
| 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 |
| 1497244099 | Advoserv of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 112 Branch Rd, Bridgewater, NJ 08807-2115 | 2018-05-09 |
| 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 |
| Street Address |
76 FEDERAL CITY RD |
| City | EWING |
| State | NJ |
| Zip Code | 08638-1323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114493244 | Dungarvin New Jersey, LLC - Whitehead II | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1015 Whitehead Road Extension, Apt 209 & 217, Ewing, NJ 08638 | 2018-10-16 |
| 1285145714 | Lifeties Inc. | Social Worker | 2205 Pennington Road, Trenton, NJ 08638 | 2017-10-24 |
| 1720502792 | Rola Behavioral Services LLC | Registered Nurse | 1676 North Olden Ave, Bldg 1, Ewing, NJ 08638 | 2017-08-01 |
| 1295264562 | Ijeoma Audrey Okpara | Behavior Technician | 67 Oak Street, Trenton, NJ 08638 | 2017-06-08 |
| 1962878736 | Meals On Wheels of Mercer County, Inc. | Home Delivered Meals | 320 Hollowbrook Drive, Ewing, NJ 08638 | 2015-08-17 |
| 1770917031 | Erica Jane Mclaughlin | Physician Assistant | 750 Bruinswick Ave, Trenton, NJ 08638 | 2013-08-22 |
| 1396013975 | Capital Health | General Acute Care Hospital | 832 Brunswick Ave., Trenton, NJ 08638 | 2011-12-09 |
| 1174800197 | Kashif Syed Anwar | Family Medicine | 1450 Parkside Ave Ste 5, Ewing, NJ 08638 | 2011-11-04 |
| 1235394578 | Neuromechanical Pain Management Associates PC | Chiropractor | 1330 Calhoun Street, Suite 2, Trenton, NJ 08638 | 2008-07-25 |
| 1861684185 | Youth Education and Transition Services | Counselor | 702 Brunswick Ave, Trenton, NJ 08638 | 2007-08-10 |
| Find all providers in zip 08638 | ||||
| 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 |
|---|---|---|---|---|
| 1184232175 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 65 Brophy Ct, Ewing, NJ 08638-1224 | 2020-07-16 |
| 1255800520 | Dungarvin New Jersey, LLC - Whitehead II, Apt 209 | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1015 Whitehead Road Ext Apt 209, Ewing, NJ 08638-2432 | 2018-11-16 |
| 1982173258 | Dungarvin New Jersey, LLC - Whitehead II, Apt 217 | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1015 Whitehead Road Ext Apt 217, Ewing, NJ 08638-2432 | 2018-11-16 |
| 1568931939 | Dungarvin New Jersey, LLC - Whitehead II, Apt 109 | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1015 Whitehead Road Ext Apt 109, Ewing, NJ 08638-2434 | 2018-11-15 |
| 1114493244 | Dungarvin New Jersey, LLC - Whitehead II | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1015 Whitehead Road Extension, Apt 209 & 217, Ewing, NJ 08638 | 2018-10-16 |
| 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 |
| 1619408044 | Princeton Child Development Institute | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 55 Perry Dr, Ewing, NJ 08628-1710 | 2017-03-27 |
| 1710356803 | Community Options, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 35 Windybush Way, Ewing, NJ 08560-1206 | 2015-09-18 |
| 1528437969 | Community Options, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1082 River Rd, Ewing, NJ 08628-2102 | 2015-09-16 |
| Find all providers in EWING | ||||
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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.