NPIMap

Organization Active NPI

Raritan Management Corporation

Doing business as Raritan Management Corp Methadone Program

  • Methadone Clinic
  • Perth Amboy, NJ
National Provider Identifier
1548487267
Registry record updated Dec 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
Legal business name
RARITAN MANAGEMENT CORPORATION
Doing business as
Raritan Management Corp Methadone Program
Practice address
500 Convery Boulevard
Perth Amboy, NJ 08861
Phone
(732) 442-7030
Fax
(732) 327-6080
NPI assigned
Apr 20, 2007
Last updated
Dec 4, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2007

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

Authorized official

Name
Mr. Michael R. D'Agnes
Title
President Ceo
Phone
(732) 442-3700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X NJ Primary

Addresses

Primary practice location

500 Convery Boulevard
Perth Amboy, NJ 08861

Mailing address

530 New Brunswick Ave
Perth Amboy, NJ 08861
Phone (732) 442-3700

Other names 1

  • Raritan Management Corp Methadone Program Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196726400000",
    "number": "1548487267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 NEW BRUNSWICK AVE",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "08861",
            "telephone_number": "732-442-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CONVERY BOULEVARD",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "08861",
            "telephone_number": "732-442-7030",
            "fax_number": "732-327-6080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RARITAN MANAGEMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2007-12-04",
        "status": "A",
        "authorized_official_last_name": "D'AGNES",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "732-442-3700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Raritan Management Corp Methadone Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Perth Amboy, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; 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.