Pinnacle Treatment Centers NJ-II LLC

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

Legal business name

PINNACLE TREATMENT CENTERS NJ-II LLC

Doing business as

Stateline Medical

Practice address

590 Marshall St
Phillipsburg, NJ 08865-2629

Phone

(908) 387-0003

NPI assigned

Jul 5, 2017

Last updated

Apr 26, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

PINNACLE TREATMENT CENTERS, INC.As reported in NPPES

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

Authorized official

Name

Robyn Tanis

Title

Executive Director of Contract MGMT

Phone

(856) 533-8762

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Stateline Medical Doing business as

Tax ID family

Pinnacle Treatment Centers NJ II LLC3 organizations share this tax ID, including this one

Part of

Pinnacle Treatment Centers Oh -Xvii

Other organizations with this tax ID 2

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

• Pinnacle Treatment Centers NJ-II LLC

  dba Flemington Treatment Services

  • Methadone Clinic
  • Ringoes, NJ
  • NPI 1063096709
  NPD tax ID
• Pinnacle Treatment Centers NJ-II LLC

  dba Stateline Medical

  • Methadone Clinic
  • Phillipsburg, NJ
  • NPI 1346419769
  NPD tax ID

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

{
    "created_epoch": "1499212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650931200000",
    "number": "1316468945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 ROUTE 73 STE 200",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080542202",
            "telephone_number": "856-439-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 MARSHALL ST",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088652629",
            "telephone_number": "908-387-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE TREATMENT CENTERS NJ-II LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PINNACLE TREATMENT CENTERS, INC.",
        "enumeration_date": "2017-07-05",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A",
        "authorized_official_last_name": "TANIS",
        "authorized_official_first_name": "ROBYN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR OF CONTRACT MGMT",
        "authorized_official_telephone_number": "856-533-8762"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0159774",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stateline Medical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Stateline Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elza Pevzner, DO
• Phillipsburg Dental Studio PC
• Phillipsburg Endodontics
• Phillipsburg School District
• Karen Elise Piergies, O.T.R.
• Pinnacle Treatment Centers NJ-II LLC (Stateline Medical)
• Bianca N Plaza Jimenez, MD
• Georgeann Pludowski, BS
• Scott Pohl, CPRS
• Christina Marie Polak, HIS

• Methadone Clinic in Phillipsburg, NJ
• Providers in Phillipsburg, 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 Apr 26, 2022; 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.