Delaware Valley Medical, Inc.

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

License

2000015 Issued in NJ

Legal business name

DELAWARE VALLEY MEDICAL, INC.

Practice address

7980 S Crescent Blvd
Pennsauken, NJ 08109-4106

Phone

(856) 665-5100

Fax

(856) 665-5212

NPI assigned

Apr 7, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Linda Voorhis, BA, CADC, CCS

Title

Chief Executive Director

Phone

(856) 665-5100

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Delaware Valley Medical Inc2 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.

• Delaware Valley Medical, Inc.

  • Methadone Clinic
  • Blackwood, NJ
  • NPI 1700909629
  NPD tax ID

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

{
    "created_epoch": "1175904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174646095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8697",
            "city": "COLLINGSWOOD",
            "state": "NJ",
            "postal_code": "081088697",
            "telephone_number": "856-665-5100",
            "fax_number": "856-665-5212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7980 S CRESCENT BLVD",
            "city": "PENNSAUKEN",
            "state": "NJ",
            "postal_code": "081094106",
            "telephone_number": "856-665-5100",
            "fax_number": "856-665-5212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELAWARE VALLEY MEDICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VOORHIS",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "856-665-5100",
        "authorized_official_credential": "BA, CADC, CCS"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "NJ",
            "license": "2000015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0092843",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8847266",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandon Cutshall
• Jeffrey F Daniels, DC
• Derrick D Darbouze
• Maryann Davies, LAC
• Dean a Newton PA
• Nicolle Deluca, LPC
• Jay Demesquita, O.D.
• Dental Excellencellc
• Christopher Depietropolo
• Devin R Depietropolo

• Methadone Clinic in Pennsauken, NJ
• Providers in Pennsauken, NJ by specialty
• Methadone Clinic in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.