Camden Treatment Associates LLC

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

License

22997 Issued in NJ

Legal business name

CAMDEN TREATMENT ASSOCIATES LLC

Practice address

508 Atlantic Ave
Camden, NJ 08104-1108

Phone

(856) 338-1811

Fax

(856) 338-1753

NPI assigned

May 20, 2008

Organization subpart

No

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

Authorized official

Name

Evangeline Macaluso

Title

Executive Director

Phone

(856) 338-1811

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• urban treatment associates Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Opioid treatment program

Medicare-enrolled since Jan 1, 2020

Enrollment records 1

Tax ID family

Camden Treatment Associates LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Camden Treatment Associates, LLC

  • Methadone Clinic
  • Camden, NJ
  • NPI 1083751630
  NPD tax ID

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Urban Treatment Associates

  • Methadone Clinic
  • Camden, NJ
  • NPI 1053640797

  Member Of

  NPD member

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John D Holtsclaw, M.D.

  • Methadone Clinic
  • Camden, NJ
  • NPI 1235309915

  Methadone

  NPD
• McKeithan Dewayne Owens, LCADC

  • Addiction (Substance Use Disorder) Counselor
  • Camden, NJ
  • NPI 1427935659
  NPD

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584576000000",
    "number": "1093972838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 ATLANTIC AVE",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081041108",
            "telephone_number": "856-338-1811",
            "fax_number": "856-338-1753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 ATLANTIC AVE",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081041108",
            "telephone_number": "856-338-1811",
            "fax_number": "856-338-1753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMDEN TREATMENT ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-20",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A",
        "authorized_official_last_name": "MACALUSO",
        "authorized_official_first_name": "EVANGELINE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "856-338-1811"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "NJ",
            "license": "22997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0217719",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "urban treatment associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "urban treatment associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Camden County Corrections
• Camden Eye Center
• Camden Eyecare, P.a.
• Camden Family Medicine, a Prof Corp
• Camden Prep, Uncommon Schools
• Camden Treatment Associates, LLC
• Camden'S Promise Charter School
• Steven Paul Cammarano Jr., PA-C
• Chelsea Campanella
• Christopher J Campanella, PA-C

• All providers in Camden, NJ
• Methadone Clinic in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.