Park Bench Rehabilitation Centers

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

PARK BENCH REHABILITATION CENTERS

Practice address

421 Bethel Rd
Somers Point, NJ 08244-2081

Phone

(609) 428-8739

NPI assigned

Apr 12, 2022

Last updated

Apr 12, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kevin King

Title

Chief Operating Officer

Phone

(609) 428-8739

Specialties & licenses 1

Addresses

Electronic endpoints 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1649721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649721600000",
    "number": "1639811466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 BETHEL RD",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442081",
            "telephone_number": "609-428-8739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 BETHEL RD",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442081",
            "telephone_number": "609-428-8739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK BENCH REHABILITATION CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-12",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "609-428-8739"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Northstartreatmentservices.com",
            "affiliation": "Y",
            "endpointDescription": "Outpatient treatment center",
            "affiliationName": "Compass Recovery Center",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Website",
            "address_1": "901 E 8th Ave Ste 203",
            "city": "King Of Prussia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "19406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Orthonj LLC
• Osprey Rehabilitation, LLC.
• Pace Orthopedics and Sports Medicine, PC
• Lori Paci, RPH
• Park Bench Group Counseling, LLC
• Mark Austin Pastore, DO
• Paul D Hierholzer DO PC
• Paul S. Demarco, DPM, LLC
• Chelsea Paulin, REGISTERED DIETITIAN
• Jan Giselle Fabian Payabyab, DPT

• Substance Abuse Rehabilitation Facility in Somers Point, NJ
• Providers in Somers Point, NJ by specialty
• Substance Abuse Rehabilitation Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.