MATHENY SCHOOL AND HOSPITAL (NPI# 1720585987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720585987 |
Entity Type | Organization |
Organization Name | MATHENY SCHOOL AND HOSPITAL |
Practice Address |
65 Highland Ave Peapack NJ 07977-0339 |
Mailing Address |
Main Street P.o. Box 339 Peapack NJ 07977-0339 |
Practice Telephone | 9082340011 |
Mailing Telephone | 9082340011 |
Mailing Fax Number | 9082349367 |
Enumeration Date | 2018-04-12 |
Last Update Date | 2018-04-12 |
Authorized Official Name | MS. BERNADETT F SPANN (PATIENT ACCOUNT SUPERVISOR) |
Authorized Official Telephone | 9082340011 |
Is Organization Subpart | N |
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 | 0582603 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861999393 | Matheny School and Hospital | Day Training/Habilitation Specialist | 216 Valley Park Rd, Suites 3&4, Hillsborough, NJ 08844 | 2018-04-11 |
1689637936 | Matheny School and Hospital | Clinic/Center | 1467 Highland Avenue, Peapack, NJ 07977 | 2006-04-08 |
1588627012 | Matheny School and Hospital | Clinic/Center | 216 Valley Park, Ste 3, Hillsborough, NJ 08844 | 2006-04-07 |
1871556399 | Matheny School and Hospital | Durable Medical Equipment & Medical Supplies | 1467 Highland Ave, Peapack, NJ 07977 | 2006-04-07 |
1184194359 | Matheny School and Hospital | Speech-Language Pathologist | 65 Highland Avenue, Peapack, NJ 07977-0339 | 2018-11-30 |
1710457981 | Matheny School and Hospital | Occupational Therapist | 65 Highland Avenue, Peapack, NJ 07977-0339 | 2018-11-30 |
1356811525 | Matheny School and Hospital | Physical Therapist | 65 Highland Avenue, Peapack, NJ 07977-0339 | 2018-11-30 |
1487146528 | Matheny School and Hospital | Community/Behavioral Health | 65 Highland Avenue, Peapack, NJ 07977-0339 | 2018-06-05 |
1104292648 | Matheny School and Hospital | Case Management | 65 Highland Avenue, Peapack, NJ 07977-0339 | 2015-08-19 |
1366490336 | Matheny School and Hospital | Intermediate Care Facility, Mental Illness | 1467 Highland Avenue, Peapack, NJ 07977 | 2006-05-04 |
Street Address |
65 HIGHLAND AVE |
City | PEAPACK |
State | NJ |
Zip Code | 07977-0339 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770546020 | Matheny School and Hospital,inc. | Special Hospital | 65 Highland Ave, Peapack, NJ 07977 | 2006-04-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689755688 | Vivian M Santana | Personal Emergency Response Attendant | 100 Route 206 North, Peapack, NJ 07977 | 2006-10-17 |
1215044771 | Thomas J Bozack | Chiropractor | 151 Main Street, Peapack, NJ 07977 | 2006-08-23 |
1356382501 | Christine P Mand | Internal Medicine | Matheny Medical and Educational Center, Highland Avenue, Peapack, NJ 07977 | 2006-06-09 |
1255396974 | Susan Marie Harabedian | Physician Assistant | 100 Route 206 North Pfizer,inc., Peapack, NJ 07977 | 2006-04-18 |
1689637936 | Matheny School and Hospital | Clinic/Center | 1467 Highland Avenue, Peapack, NJ 07977 | 2006-04-08 |
1871556399 | Matheny School and Hospital | Durable Medical Equipment & Medical Supplies | 1467 Highland Ave, Peapack, NJ 07977 | 2006-04-07 |
1912383977 | Matheny | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 65 Highland Avenue, Peapack, NJ 07977 | 2015-07-31 |
1417233750 | Christine Marie O'hea | Dentist | 181 Main Street, Peapack, NJ 07977 | 2011-11-01 |
1992914147 | Alba Nydia Mendez Morales | Pediatrics | 65 Highland Avenue, Peapack, NJ 07977 | 2007-05-22 |
1366490336 | Matheny School and Hospital | Intermediate Care Facility, Mental Illness | 1467 Highland Avenue, Peapack, NJ 07977 | 2006-05-04 |
Find all providers in zip 07977 |
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 |
---|---|---|---|---|
1912383977 | Matheny | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 65 Highland Avenue, Peapack, NJ 07977 | 2015-07-31 |
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---|---|---|---|---|
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1003413311 | Excelsior Services Group LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 415 Main Ave, Wood Ridge, NJ 07075-2055 | 2020-10-08 |
1659988178 | Community Options, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19 Heather Ln, Belle Mead, NJ 08502-5125 | 2020-09-29 |
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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.