Milestone Addiction Treatment LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

MILESTONE ADDICTION TREATMENT LLC

Practice address

1 S Centre St
Merchantville, NJ 08109-2213

Phone

(856) 816-0728

NPI assigned

Mar 13, 2019

Last updated

Mar 13, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jason Gooberman

Title

Ceo

Phone

(856) 449-6159

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1552435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552435200000",
    "number": "1023577731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 S CENTRE ST",
            "city": "MERCHANTVILLE",
            "state": "NJ",
            "postal_code": "081092213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 S CENTRE ST",
            "city": "MERCHANTVILLE",
            "state": "NJ",
            "postal_code": "081092213",
            "telephone_number": "856-816-0728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILESTONE ADDICTION TREATMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-13",
        "last_updated": "2019-03-13",
        "status": "A",
        "authorized_official_last_name": "GOOBERMAN",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "856-449-6159"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David R McComb, D.O.
• Jill McKay, PT
• Karen Renee McRae
• Merchantville Addiction Treatment LLC
• Merchantville Medical
• Cindy Morales-Butts, NBHWC
• Marian W Mote, CPNP
• Motherland Midwifery LLC
• Movement 4 Wellness, LLC
• Rachel C Murtin, OTR/L

• Substance Abuse Rehabilitation Facility in Merchantville, NJ
• Providers in Merchantville, NJ by specialty
• Substance Abuse Rehabilitation Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.