Organization Active NPI

HHBH

Doing business as Medallion Care

  • Adult Mental Health Clinic/Center
  • Hamilton, NJ
National Provider Identifier
1639228893
Registry record updated Sep 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
HHBH
Doing business as
Medallion Care
Practice address
1 Electronics Dr
Hamilton, NJ 08619-2054
Phone
(609) 586-0700
Fax
(609) 586-0766
NPI assigned
Jan 9, 2007
Last updated
Sep 4, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2012

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

Authorized official

Name
William Deutsch
Title
Executive Director
Phone
(609) 586-0700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NJ Primary

Addresses

Primary practice location

1 Electronics Dr
Hamilton, NJ 08619-2054

Mailing address

1 Electronics Dr
Hamilton, NJ 08619-2054
Phone (609) 586-0700

Other identifiers 1

IdentifierTypeStateIssuer
7166605MedicaidNJ

Other names 1

  • MEDALLION CARE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
HHBH3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346716800000",
    "number": "1639228893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ELECTRONICS DR",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086192054",
            "telephone_number": "609-586-0700",
            "fax_number": "609-586-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ELECTRONICS DR",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086192054",
            "telephone_number": "609-586-0700",
            "fax_number": "609-586-0766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HHBH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2012-09-04",
        "status": "A",
        "authorized_official_last_name": "DEUTSCH",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "609-586-0700"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7166605",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDALLION CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hamilton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2012; 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.