NPIMap

Organization Active NPI

Matheny School and Hospital

Doing business as Matheny Medical and Education Center

  • 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
Doing business as
Matheny Medical and Education Center
Practice address
1467 Highland Avenue
Peapack, NJ 07977
Phone
(908) 234-0011
Fax
(908) 234-9496
NPI assigned
May 4, 2006
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
Mr. Steven Proctor
Title
President
Phone
(908) 234-0011

Specialties & licenses 1

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

Addresses

Primary practice location

1467 Highland Avenue
Peapack, NJ 07977

Mailing address

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

Other names 1

  • Matheny Medical and Education Center Doing business as

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

NPI Registry JSON

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

{
    "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": [],
    "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.