NPIMap

Organization Active NPI

Pinnacle Treatment Centers NJ III LLC

Doing business as Vineland Treatment Services

  • Methadone Clinic
  • Vineland, NJ
National Provider Identifier
1336608512
Registry record updated Mar 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
Legal business name
PINNACLE TREATMENT CENTERS NJ III LLC
Doing business as
Vineland Treatment Services
Practice address
1051 W Sherman Ave BLDG 4
Vineland, NJ 08360-6931
Phone
(856) 839-2210
NPI assigned
Mar 18, 2019
Last updated
Mar 18, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
PINNACLE TREATMENT CENTERS NJ-III, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 18, 2019

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

Authorized official

Name
Robyn Tanis
Title
Executive Director Contract MGMT
Phone
(856) 533-8762

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X Primary

Addresses

Primary practice location

1051 W Sherman Ave BLDG 4
Vineland, NJ 08360-6931

Mailing address

1317 Route 73
Mount Laurel, NJ 08054-2202
Phone (856) 429-6111

Other names 1

  • Vineland Treatment Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pinnacle Treatment Centers NJ-III LLC14 organizations share this tax ID, including this one
Part of
Pinnacle Treatment Centers NJ-III LLC

Other organizations with this tax ID 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552867200000",
    "number": "1336608512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 ROUTE 73",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080542202",
            "telephone_number": "856-429-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 W SHERMAN AVE BLDG 4",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083606931",
            "telephone_number": "856-839-2210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE TREATMENT CENTERS NJ III LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PINNACLE TREATMENT CENTERS NJ-III, LLC",
        "enumeration_date": "2019-03-18",
        "last_updated": "2019-03-18",
        "status": "A",
        "authorized_official_last_name": "TANIS",
        "authorized_official_first_name": "ROBYN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR 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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vineland Treatment Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vineland, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2019; 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.