Organization Active NPI

Urban Treatment Associates

  • Methadone Clinic
  • Camden, NJ
National Provider Identifier
1053640797
Registry record updated Sep 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
Legal business name
URBAN TREATMENT ASSOCIATES
Practice address
808 Market Street
Camden, NJ 08102
Phone
(856) 225-0505
Fax
(856) 541-0719
NPI assigned
Dec 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2022

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

Authorized official

Name
Dr. John D Hottsclaw, M.D.
Title
Board President
Phone
(856) 225-0505

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 2000459-09 NJ

Addresses

Primary practice location

808 Market Street
Camden, NJ 08102

Mailing address

808 Market Street
Camden, NJ 08102
Phone (856) 225-0505

Other identifiers 1

IdentifierTypeStateIssuer
8635200MedicaidNJ

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2206725Urban Treatment Associates, Inc808 Market St, Camden, NJ 08102Certificate of waiverDec 21, 2026

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

808 Market St
Camden, NJ 08102
Phone (856) 202-7528

NPI Registry JSON

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

{
    "created_epoch": "1260316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662595200000",
    "number": "1053640797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 MARKET STREET",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "08102",
            "telephone_number": "856-225-0505",
            "fax_number": "856-541-0719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 MARKET STREET",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "08102",
            "telephone_number": "856-225-0505",
            "fax_number": "856-541-0719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URBAN TREATMENT ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-09",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A",
        "authorized_official_last_name": "HOTTSCLAW",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "BOARD PRESIDENT",
        "authorized_official_telephone_number": "856-225-0505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NJ",
            "license": "2000459-09",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8635200",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; 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.