NPIMap

Organization Active NPI

Maryville, Inc

  • Substance Abuse Rehabilitation Facility
  • Pemberton, NJ
National Provider Identifier
1306346325
Registry record updated Oct 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
1000140 Issued in NJ
Legal business name
MARYVILLE, INC
Practice address
610 Pemberton Browns Mills Rd
Pemberton, NJ 08068
Phone
(609) 321-6263
Fax
(609) 283-0262
NPI assigned
Feb 16, 2018
Last updated
Oct 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2026

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

Authorized official

Name
Mr. Jared Levy
Title
Cfo
Phone
(856) 863-3913

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Substance Abuse Rehabilitation Facility 324500000X 1000140 NJ Primary

Addresses

Primary practice location

610 Pemberton Browns Mills Rd
Pemberton, NJ 08068

Mailing address

129 Johnson Rd Ste 7
Turnersville, NJ 08012-1777
Phone (856) 863-3913

Other names 1

  • MARYVILLE ADDICTION TREATMENT CENTER Other name

National Provider Directory

National Provider Directory
Tax ID family
Maryville Inc15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1518739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793318400000",
    "number": "1306346325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 JOHNSON RD STE 7",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "080121777",
            "telephone_number": "856-863-3913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 PEMBERTON BROWNS MILLS RD",
            "city": "PEMBERTON",
            "state": "NJ",
            "postal_code": "08068",
            "telephone_number": "609-321-6263",
            "fax_number": "609-283-0262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYVILLE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-16",
        "last_updated": "2026-10-30",
        "certification_date": "2026-10-30",
        "status": "A",
        "authorized_official_last_name": "LEVY",
        "authorized_official_first_name": "JARED",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "856-863-3913",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NJ",
            "license": "1000140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARYVILLE ADDICTION TREATMENT CENTER",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "MARYVILLE ADDICTION TREATMENT CENTER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pemberton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2026; 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.