Keystone Treatment Center

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

KEYSTONE TREATMENT CENTER

Practice address

247 Overpeck Ave
Ridgefield Park, NJ 07660-1219

Phone

(201) 417-8674

NPI assigned

Jan 4, 2016

Organization subpart

No

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

Authorized official

Name

Richard Hession

Title

Incorporator

Phone

(201) 417-8674

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1451865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451865600000",
    "number": "1063878239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 OVERPECK AVE",
            "city": "RIDGEFIELD PARK",
            "state": "NJ",
            "postal_code": "076601219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 OVERPECK AVE",
            "city": "RIDGEFIELD PARK",
            "state": "NJ",
            "postal_code": "076601219",
            "telephone_number": "201-417-8674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-04",
        "last_updated": "2016-01-04",
        "status": "A",
        "authorized_official_last_name": "HESSION",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "INCORPORATOR",
        "authorized_official_telephone_number": "201-417-8674"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendra Jones, DOULA
• June Seongeun Jung, APN
• Marcel Kaganovskaya, DNP
• Susan Y Kasparov, PHARMD
• Danielle Renee Kelly, RNC, IBCLC
• Paul K Kim, D.V.M.
• Annalise Korbul
• Kristin Ashley Koscs, PT
• L&M Dental Group LLC
• Diane Lang, RN

• Substance Abuse Rehabilitation Facility in Ridgefield Park, NJ
• Providers in Ridgefield Park, 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 Jan 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.