Active NPI
Crossroads of New Jersey Management, LLC
- Substance Use Disorder Rehabilitation Clinic/Center
- Toms River, NJ
National Provider Identifier
1174015093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- Legal business name
- CROSSROADS OF NEW JERSEY MANAGEMENT, LLC
- Doing business as
- Crossroads Treatment Center of Toms River
- Practice address
- 751 Route 37 W
Toms River, NJ 08755-5032 - Phone
- (864) 527-3145
- NPI assigned
- Jun 6, 2018
- 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
- Rupert McCormac
- Title
- President
- Phone
- (800) 805-6989
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | |||
| Methadone Clinic | 261QM2800X | |||
| Primary Care Clinic/Center | 261QP2300X | |||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Primary |
Addresses
Primary practice location
751 Route 37 W
Toms River, NJ 08755-5032
Mailing address
PO Box 749057
Atlanta, GA 30374-9057
Phone (800) 805-6989
Other names 1
- Crossroads Treatment Center of Toms River
National Provider Directory
National Provider DirectoryLocations
751 Route 37 W
Toms River, NJ 08755
Phone (732) 240-7757
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528243200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712448000000",
"number": "1174015093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 749057",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303749057",
"telephone_number": "800-805-6989",
"fax_number": "864-558-8511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "751 ROUTE 37 W",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "087555032",
"telephone_number": "864-527-3145"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CROSSROADS OF NEW JERSEY MANAGEMENT, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-06-06",
"last_updated": "2024-04-07",
"certification_date": "2024-04-07",
"status": "A",
"authorized_official_last_name": "MCCORMAC",
"authorized_official_first_name": "RUPERT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "800-805-6989"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM2800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Methadone",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Crossroads Treatment Center of Toms River",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Toms River, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.