Active NPI
HHBH
Doing business as Medallion Care
- Adult Mental Health Clinic/Center
- Hamilton, NJ
National Provider Identifier
1639228893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- 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, 2012
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7166605 | Medicaid | NJ |
Other names 1
- MEDALLION CARE
National Provider Directory
National Provider Directory- Tax ID family
- HHBH
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Adult Mental Health Clinic/Center
- Monroe Township, NJ
- NPI 1205986049
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.