Ars of Somers Point, LLC
Organization Active NPI Methadone Clinic · Mays Landing, NJ
NPI 1215098348 · NPPES record last updated Sep 14, 2022
Key facts
- NPI
- 1215098348
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Methadone Clinic 261QM2800X
- License
- 2000013 (NJ)
- Legal business name
- ARS OF SOMERS POINT, LLC
- Practice address
- 1409 Cantillon Blvd
Mays Landing, NJ 08330-2023 - Phone
- (609) 601-8611
- Fax
- (609) 601-8610
- NPI assigned
- Dec 13, 2006
- Organization subpart
- No
Authorized official
- Name
- Genevieve King
- Title
- Coo
- Phone
- (484) 731-2500
Practitioners 5
-
Russell Little, APN
-
William W Bruck, NP,FNP-BC,PMHNP-BC
-
Keith Darnell Dunn, CPRS-NJ
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D2119798 | Ars of Somers Point, LLC | Certificate of waiver | Oct 3, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Opioid treatment program
- Medicare-enrolled since Jan 1, 2020
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200115002625 | NJ | Part B Supplier - Opioid Treatment Program (Otp) | 7618302878 | Practice locations: Mays Landing, NJ |
National Provider Directory
Locations
1409 Cantillon Blvd
Mays Landing, NJ 08330
Phone (609) 601-8611
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Methadone Clinic | 261QM2800X | 2000013 | NJ | Yes |
Addresses
Primary practice location
1409 Cantillon Blvd
Mays Landing, NJ 08330-2023
Mailing address
1409 Cantillon Blvd
Mays Landing, NJ 08330-2023
Phone (609) 601-8611
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0055131 | Medicaid | NJ |
Other names
- Family Addiction Treatment Center
Other providers in Mays Landing, NJ
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- Aquamarine Associates
- Archer Physical Therapy
- Benjamin M. Archetto
- Arnold S Bacarro MD PA
- Associated Retinal Consultants, LLC
- Atlantic County Special Services Boe
- Atlantic County Special Services School District
- Atlantic County Vocational Technical School
- Atlantic Off Shore Medical Associates P.a.
All providers in Mays Landing, NJ · Methadone Clinic in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 14, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.