Organization Active NPI

Crossroads Treatment Centers of New Jersey, PC

Doing business as Crossroads Treatment Center of Toms River

  • Methadone Clinic
  • Toms River, NJ
National Provider Identifier
1528563897
Registry record updated May 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
Legal business name
CROSSROADS TREATMENT CENTERS OF NEW JERSEY, PC
Doing business as
Crossroads Treatment Center of Toms River
Practice address
751 Route 37 W
Toms River, NJ 08755-5032
Phone
(848) 224-4578
Fax
(848) 224-4276
NPI assigned
Mar 28, 2018
Last updated
May 17, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
CROSSROADS TREATMENT CENTER OF TOMS RIVERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 17, 2019

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

Authorized official

Name
Tracy Johnson
Title
Contracts Specialist
Phone
(864) 527-3145

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X NJ Primary
Community/Behavioral Health Agency 251S00000X NJ

Addresses

Primary practice location

751 Route 37 W
Toms River, NJ 08755-5032

Mailing address

55 Beattie PL Ste 810
Greenville, SC 29601-2191
Phone (864) 527-3145

Other names 1

  • Crossroads Treatment Center of Toms River Doing business as

National Provider Directory

National Provider Directory
Part of
Crossroads Treatment Centers of New Jersey PC

NPI Registry JSON

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

{
    "created_epoch": "1522195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558051200000",
    "number": "1528563897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 BEATTIE PL STE 810",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012191",
            "telephone_number": "864-527-3145",
            "fax_number": "864-990-0653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 ROUTE 37 W",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087555032",
            "telephone_number": "848-224-4578",
            "fax_number": "848-224-4276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS TREATMENT CENTERS OF NEW JERSEY, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CROSSROADS TREATMENT CENTER OF TOMS RIVER",
        "enumeration_date": "2018-03-28",
        "last_updated": "2019-05-17",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "CONTRACTS SPECIALIST",
        "authorized_official_telephone_number": "864-527-3145"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "NJ",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crossroads Treatment Center of Toms River",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2019; 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.