Daytop Village of NJ, Inc.

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

0554197 Issued in NJ

Legal business name

DAYTOP VILLAGE OF NJ, INC.

Practice address

9 Harding Hwy
Pittsgrove, NJ 08318-4401

Phone

(856) 358-4111

NPI assigned

Feb 15, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Stephen Scrape

Title

Director of Finance & Controller

Phone

(862) 260-9460

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1487116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505347200000",
    "number": "1235678855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 310",
            "city": "MENDHAM",
            "state": "NJ",
            "postal_code": "079450310",
            "telephone_number": "862-260-9460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 HARDING HWY",
            "city": "PITTSGROVE",
            "state": "NJ",
            "postal_code": "083184401",
            "telephone_number": "856-358-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAYTOP VILLAGE OF NJ, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-15",
        "last_updated": "2017-09-14",
        "status": "A",
        "authorized_official_last_name": "SCRAPE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE & CONTROLLER",
        "authorized_official_telephone_number": "862-260-9460",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NJ",
            "license": "0554197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0554197",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daytop Village of New Jersey, Inc.
• Daytop Village of New Jersey, Inc.
• Daytop Village of New Jersey, Inc.
• Daytop Village of New Jersey, Inc.
• Daytop Village of NJ
• Rose Mary Dease
• Lynn Devasto
• Iva M Dreyer, MHS LCADC
• Tracy Lynn Dreyer
• Anthony Michael Dzindzio

• Substance Use Disorder Rehabilitation Clinic/Center in Pittsgrove, NJ
• Providers in Pittsgrove, NJ by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2017; 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.