NPIMap

Organization Active NPI

Oaks Integrated Care

  • Adult Mental Health Clinic/Center
  • Medford, NJ
National Provider Identifier
1437677309
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
OAKS INTEGRATED CARE
Practice address
19 Evergreen TRL
Medford, NJ 08055-9342
Phone
(609) 267-5928
NPI assigned
Aug 31, 2017
Last updated
Jun 16, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Qindi Shi
Title
Cfo
Phone
(609) 267-5928

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU Primary

Addresses

Primary practice location

19 Evergreen TRL
Medford, NJ 08055-9342

Mailing address

770 Woodlane Rd # RDQ
Westampton, NJ 08060-3804

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Oaks Integrated Care162 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1504137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1437677309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 WOODLANE RD # RDQ",
            "city": "WESTAMPTON",
            "state": "NJ",
            "postal_code": "080603804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 EVERGREEN TRL",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080559342",
            "telephone_number": "609-267-5928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKS INTEGRATED CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-31",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "SHI",
        "authorized_official_first_name": "QINDI",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "609-267-5928"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.