NPIMap

Organization Active NPI

Dept. Veterans Affairs

  • Substance Abuse Rehabilitation Facility
  • Lyons, NJ
National Provider Identifier
1265532436
Registry record updated Aug 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
44SC00041400 Issued in NJ
Legal business name
DEPT. VETERANS AFFAIRS
Practice address
151 Knollcroft Rd
BLDG. 57
Lyons, NJ 07939-5001
Phone
(908) 647-0180
Fax
(908) 604-5850
NPI assigned
Sep 25, 2006
Last updated
Aug 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2008

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

Authorized official

Name
Ms. Susan Lee Moore-Magee, MSW, LCSWNPI 1043305105
Title
Clinical Coordinator
Phone
(908) 647-0180

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 44SC00041400 NJ Primary

Addresses

Primary practice location

151 Knollcroft Rd
BLDG. 57
Lyons, NJ 07939-5001

Mailing address

52 Hercules Rd
Kenvil, NJ 07847-2579
Phone (973) 927-7044

Other names 1

  • VANJHCS Other name

National Provider Directory

National Provider Directory

Locations

151 Knollcroft Rd
Bldg 57
Lyons, NJ 07939
Phone 90864701804218

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218153600000",
    "number": "1265532436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 HERCULES RD",
            "city": "KENVIL",
            "state": "NJ",
            "postal_code": "078472579",
            "telephone_number": "973-927-7044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 KNOLLCROFT RD",
            "address_2": "BLDG. 57",
            "city": "LYONS",
            "state": "NJ",
            "postal_code": "079395001",
            "telephone_number": "908-647-0180",
            "fax_number": "908-604-5850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPT. VETERANS AFFAIRS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2008-08-08",
        "status": "A",
        "authorized_official_last_name": "MOORE-MAGEE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CLINICAL COORDINATOR",
        "authorized_official_telephone_number": "908-647-0180",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NJ",
            "license": "44SC00041400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VANJHCS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lyons, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2008; 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.