NPIMap

Organization Active NPI

Integrity, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Newark, NJ
National Provider Identifier
1487253779
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
INTEGRITY, INC
Practice address
1091-1093 Broad Street
Newark, NJ 07102
Phone
(973) 623-0600
Fax
(973) 642-5915
NPI assigned
Oct 19, 2020
Reactivated
Jun 30, 2021
Last updated
Feb 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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

Authorized official

Name
Mrs. Sonya Wooten
Title
Director of Billing Services
Phone
(973) 623-0600

Specialties & licenses 1

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

Addresses

Primary practice location

1091-1093 Broad Street
Newark, NJ 07102

Mailing address

103 Lincoln Park
Newark, NJ 07102-2388
Phone (973) 623-0600

Other identifiers 2

IdentifierTypeStateIssuer
0310221MedicaidNJ
2000050OtherNJSTATE LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Newark

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210907002930 NJ Part B Supplier - Clinic/Group Practice 2163828757 Receives reassigned benefits from 9 practitioners
1 other NPI on this enrollment
Practice locations: Newark, NJ

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
Tax ID family
Integrity Inc33 organizations share this tax ID, including this one

Other organizations with this tax ID 32

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

View all 32

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1603065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709164800000",
    "number": "1487253779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 LINCOLN PARK",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071022388",
            "telephone_number": "973-623-0600",
            "fax_number": "973-623-2205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1091-1093 BROAD STREET",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "07102",
            "telephone_number": "973-623-0600",
            "fax_number": "973-642-5915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRITY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-19",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "deactivation_date": "2021-05-05",
        "reactivation_date": "2021-06-30",
        "status": "A",
        "authorized_official_last_name": "WOOTEN",
        "authorized_official_first_name": "SONYA",
        "authorized_official_title_or_position": "DIRECTOR OF BILLING SERVICES",
        "authorized_official_telephone_number": "973-623-0600",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0310221",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "2000050",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Newark",
            "affiliation": "N",
            "address_1": "103 Lincoln Park",
            "city": "Newark",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "071022388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; 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.