Active NPI
Pinnacle Treatment Centers NJ-V
- Substance Use Disorder Rehabilitation Clinic/Center
- Kearny, NJ
National Provider Identifier
1093018343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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.