NPIMap

Organization Active NPI

Services to Overcome Drug Abuse Among Teenagers, Inc.

Doing business as SODAT of New Jersey, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Woodbury, NJ
National Provider Identifier
1073914313
Registry record updated Oct 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
40840 Issued in NJ
Legal business name
SERVICES TO OVERCOME DRUG ABUSE AMONG TEENAGERS, INC.
Doing business as
SODAT of New Jersey, Inc.
Practice address
124 N Broad St
Woodbury, NJ 08096
Phone
(856) 475-1310
Fax
(856) 742-0055
NPI assigned
Sep 5, 2014
Last updated
Oct 18, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2018

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

Authorized official

Name
Ms. Denise Pooley
Title
Cfo
Phone
(856) 475-1310

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 40840 NJ Primary

Addresses

Primary practice location

124 N Broad St
Woodbury, NJ 08096

Mailing address

919 Broadway
Westville, NJ 08093-1436
Phone (856) 475-1310

Other practice location 1

60 High St
Mount Holly, NJ 08060-1753
Phone (609) 265-7884

Other identifiers 1

IdentifierTypeStateIssuer
0412911MedicaidNJ

Other names 1

  • SODAT of New Jersey, Inc. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Services to Overcome Drug Abuse Among Teenagers Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

60 High St
Mount Holly, NJ 08060
Phone (609) 265-7884

124 N Broad St
Woodbury, NJ 08096
Phone (856) 475-1310

NPI Registry JSON

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

{
    "created_epoch": "1409875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539820800000",
    "number": "1073914313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 BROADWAY",
            "city": "WESTVILLE",
            "state": "NJ",
            "postal_code": "080931436",
            "telephone_number": "856-475-1310",
            "fax_number": "856-742-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 N BROAD ST",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "08096",
            "telephone_number": "856-475-1310",
            "fax_number": "856-742-0055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 High St",
            "address_purpose": "LOCATION",
            "city": "Mount Holly",
            "state": "NJ",
            "postal_code": "080601753",
            "country_code": "US",
            "telephone_number": "609-265-7884",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SERVICES TO OVERCOME DRUG ABUSE AMONG TEENAGERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-05",
        "last_updated": "2018-10-18",
        "status": "A",
        "authorized_official_last_name": "POOLEY",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "856-475-1310",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NJ",
            "license": "40840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0412911",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SODAT of New Jersey, Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SODAT of New Jersey, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodbury, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2018; 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.