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 Street
Phillipsburg, NJ 08865

Phone

(908) 387-0003

NPI assigned

Feb 29, 2008

Last updated

Apr 26, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

PINNACLE TREATMENT CENTERS INCAs 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 names 1

• Stateline Medical Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Opioid treatment program

Medicare-enrolled since Jan 1, 2020

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Pinnacle Treatment Centers NJ II LLC

  dba Flemington Treatment Services

  • Methadone Clinic
  • Ringoes, NJ
  • NPI 1487268017

  O20200309000924

  Same enrollment

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 1316468945
  NPD tax ID

Locations

Practitioners 1

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.

• Christopher Johnston, M.D.

  • Family Medicine Physician
  • Port Monmouth, NJ
  • NPI 1790760775
  NPD

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

{
    "created_epoch": "1204243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650931200000",
    "number": "1346419769",
    "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 STREET",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "08865",
            "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": "2008-02-29",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stateline Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 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
• Matthew S. Pollack, MD

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.