NPIMap

Organization Active NPI

Rescue Mission of Trenton

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Trenton, NJ
National Provider Identifier
1164815437
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
2000107 Issued in NJ
Legal business name
RESCUE MISSION OF TRENTON
Practice address
72 Ewing St
Trenton, NJ 08609-1027
Phone
(609) 396-2183
Fax
(609) 695-5199
NPI assigned
Mar 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Authorized official

Name
Barrett Young
Title
Chief Executive Officer
Phone
(609) 396-2183

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 2000107 NJ Primary

Addresses

Primary practice location

72 Ewing St
Trenton, NJ 08609-1027

Mailing address

98 Carroll St
Trenton, NJ 08609-1008
Phone (609) 396-2183

Other identifiers 1

IdentifierTypeStateIssuer
0092461MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Rescue Mission of Trenton7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1426032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747699200000",
    "number": "1164815437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 CARROLL ST",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086091008",
            "telephone_number": "609-396-2183",
            "fax_number": "609-695-5199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 EWING ST",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086091027",
            "telephone_number": "609-396-2183",
            "fax_number": "609-695-5199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESCUE MISSION OF TRENTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-11",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "BARRETT",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "609-396-2183"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NJ",
            "license": "2000107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0092461",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; 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.