NPIMap

Organization Active NPI

Suburban Treatment Associates

  • Methadone Clinic
  • Union, NJ
National Provider Identifier
1578775862
Registry record updated Apr 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
License
22315 Issued in NJ
Legal business name
SUBURBAN TREATMENT ASSOCIATES
Practice address
43 Progress St
Union, NJ 07083-8114
Phone
(908) 687-7188
Fax
(908) 687-0294
NPI assigned
May 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2008

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

Authorized official

Name
Anthony S Megaro
Title
LLC Member
Phone
(908) 687-7188

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X 22315 NJ Primary

Addresses

Primary practice location

43 Progress St
Union, NJ 07083-8114

Mailing address

43 Progress St
Union, NJ 07083-8114
Phone (908) 687-7188

Other identifiers 1

IdentifierTypeStateIssuer
5150116MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Suburban Treatment Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207526400000",
    "number": "1578775862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 PROGRESS ST",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070838114",
            "telephone_number": "908-687-7188",
            "fax_number": "908-687-0294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 PROGRESS ST",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070838114",
            "telephone_number": "908-687-7188",
            "fax_number": "908-687-0294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN TREATMENT ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2008-04-07",
        "status": "A",
        "authorized_official_last_name": "MEGARO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "LLC MEMBER",
        "authorized_official_telephone_number": "908-687-7188"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "NJ",
            "license": "22315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5150116",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2008; 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.