Organization Active NPI

Pinnacle Treatment Centers NJ-V

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Kearny, NJ
National Provider Identifier
1093018343
Registry record updated Dec 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
PINNACLE TREATMENT CENTERS NJ-V
Practice address
206 Bergen Ave
Kearny, NJ 07032-3384
Phone
(201) 991-0035
Fax
(201) 991-2066
NPI assigned
Dec 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2010

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

Authorized official

Name
Mr. Scott Cohen
Title
Avp/Controller
Phone
(732) 264-3824

Specialties & licenses 1

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

Addresses

Primary practice location

206 Bergen Ave
Kearny, NJ 07032-3384

Mailing address

25 E Front St
Keyport, NJ 07735-1562
Phone (732) 264-3824

Other names 1

  • Endeavor House North Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1291766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291766400000",
    "number": "1093018343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 E FRONT ST",
            "city": "KEYPORT",
            "state": "NJ",
            "postal_code": "077351562",
            "telephone_number": "732-264-3824",
            "fax_number": "732-264-6497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 BERGEN AVE",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070323384",
            "telephone_number": "201-991-0035",
            "fax_number": "201-991-2066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE TREATMENT CENTERS NJ-V",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-08",
        "last_updated": "2010-12-08",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "AVP/CONTROLLER",
        "authorized_official_telephone_number": "732-264-3824",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Endeavor House North",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kearny, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; 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.