NPIMap

Organization Active NPI

Cumberland County Alcohol and Drug Abuse Services

Doing business as First Step Clinic

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Bridgeton, NJ
National Provider Identifier
1346468824
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
23030 Issued in NJ
Legal business name
CUMBERLAND COUNTY ALCOHOL AND DRUG ABUSE SERVICES
Doing business as
First Step Clinic
Practice address
72 N Pearl St
Bridgeton, NJ 08302-1943
Phone
(856) 451-3727
Fax
(856) 455-9706
NPI assigned
Apr 23, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Juanita Nazario, MHS, MSC, LCADC
Title
Executive Director
Phone
(856) 451-3727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 23030 NJ Primary

Addresses

Primary practice location

72 N Pearl St
Bridgeton, NJ 08302-1943

Mailing address

72 North Pearl Street
Bridgeton, NJ 08302
Phone (856) 451-3727

Other identifiers 1

IdentifierTypeStateIssuer
23030OtherNJFACILITY LICENSE #

Other names 1

  • First Step Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
County of Cumberland3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

72 N Pearl St
Bridgeton, NJ 08302
Phone (856) 451-3727

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346468824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 NORTH PEARL STREET",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "08302",
            "telephone_number": "856-451-3727",
            "fax_number": "856-455-9706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 N PEARL ST",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083021943",
            "telephone_number": "856-451-3727",
            "fax_number": "856-455-9706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUMBERLAND COUNTY ALCOHOL AND DRUG ABUSE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NAZARIO",
        "authorized_official_first_name": "JUANITA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "856-451-3727",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MHS, MSC, LCADC"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NJ",
            "license": "23030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY LICENSE #",
            "identifier": "23030",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First Step Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bridgeton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.