NPIMap

Organization Active NPI

Matheny School and Hospital

  • Mental Illness Intermediate Care Facility
  • Peapack, NJ
National Provider Identifier
1366490336
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Intermediate Care FacilityTaxonomy code 310500000X
License
21801 Issued in NJ
Legal business name
MATHENY SCHOOL AND HOSPITAL
Practice address
1467 Highland Avenue
Peapack, NJ 07977
Phone
(908) 234-0011
Fax
(908) 234-9496
NPI assigned
May 4, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mr. Steven Proctor
Title
President
Phone
(908) 234-0011

National Provider Directory

National Provider Directory
Tax ID family
Matheny School Hosp20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

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

View all 19

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Intermediate Care Facility 310500000X 21801 NJ Primary

Addresses

NPPES NPI Registry

Primary practice location

1467 Highland Avenue
Peapack, NJ 07977

Mailing address

PO Box 339
Peapack, NJ 07977
Phone (908) 234-0011

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
4503503MedicaidNJ

Other names 1

NPPES NPI Registry
  • Matheny Medical and Education Center Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366490336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 339",
            "city": "PEAPACK",
            "state": "NJ",
            "postal_code": "07977",
            "telephone_number": "908-234-0011",
            "fax_number": "908-234-9496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1467 HIGHLAND AVENUE",
            "city": "PEAPACK",
            "state": "NJ",
            "postal_code": "07977",
            "telephone_number": "908-234-0011",
            "fax_number": "908-234-9496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATHENY SCHOOL AND HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PROCTOR",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-234-0011",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": "NJ",
            "license": "21801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4503503",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Matheny Medical and Education Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Peapack, 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.