NPIMap

Organization Active NPI

Preferred Behavioral Health of New Jersey, Inc

  • Community/Behavioral Health Agency
  • Lakewood, NJ
National Provider Identifier
1457418717
Registry record updated Oct 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
203020348 Issued in NJ
Legal business name
PREFERRED BEHAVIORAL HEALTH OF NEW JERSEY, INC
Practice address
725 Airport Rd Ste 7G
Lakewood, NJ 08701-5968
Phone
(732) 367-4700
NPI assigned
Jan 3, 2007
Last updated
Oct 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2026

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

Authorized official

Name
Julie Vanore
Title
Ca)
Phone
(732) 458-1700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 203020348 NJ Primary

Addresses

Primary practice location

725 Airport Rd Ste 7G
Lakewood, NJ 08701-5968

Mailing address

PO Box 2036
Lakewood, NJ 08701-8036
Phone (732) 458-1700

Other practice location 1

1191 Lakewood Rd
Toms River, NJ 08753-4172
Phone (732) 323-3664

Other identifiers 1

IdentifierTypeStateIssuer
4549601MedicaidNJ

Other names 1

  • ICMS/Housing. Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050629000660 NJ Part B Supplier - Clinic/Group Practice 3971414533 Receives reassigned benefits from 51 practitioners
17 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Toms River, NJ; Lakewood, NJ; Eatontown, NJ; Brick, NJ; Barnegat, NJ

Other NPIs on the same Medicare enrollment 14

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

View all 14

National Provider Directory

National Provider Directory
Tax ID family
Preferred Behavioral Health of NJ Inc22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

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

View all 21

Locations

2156 Route 37
Manchester, NJ 08759
Phone (732) 323-3664

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790899200000",
    "number": "1457418717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2036",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087018036",
            "telephone_number": "732-458-1700",
            "fax_number": "732-785-3296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 AIRPORT RD STE 7G",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015968",
            "telephone_number": "732-367-4700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1191 Lakewood Rd",
            "address_purpose": "LOCATION",
            "city": "Toms River",
            "state": "NJ",
            "postal_code": "087534172",
            "country_code": "US",
            "telephone_number": "732-323-3664",
            "fax_number": "732-323-3695",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PREFERRED BEHAVIORAL HEALTH OF NEW JERSEY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2026-10-02",
        "certification_date": "2026-10-02",
        "status": "A",
        "authorized_official_last_name": "VANORE",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "CA)",
        "authorized_official_telephone_number": "732-458-1700"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "203020348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4549601",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ICMS/Housing.",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "ICMS/Housing.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lakewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2026; 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.