NPIMap

Organization Active NPI

The Lester a. Drenk Behavioral Heatlh Center, Inc.

  • Community/Behavioral Health Agency
  • Hainesport, NJ
National Provider Identifier
1669631628
Registry record updated Feb 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
THE LESTER A. DRENK BEHAVIORAL HEATLH CENTER, INC.
Practice address
1289 Route 38
Suite 104
Hainesport, NJ 08036-2730
Phone
(609) 265-7804
NPI assigned
Jun 5, 2008
Organization subpart
Yes
Parent organization
THE LESTER A. DRENK BEHAVIORAL HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 27, 2009

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

Authorized official

Name
Harry Marmorstein
Title
Ceo
Phone
(609) 267-5656

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1289 Route 38
Suite 104
Hainesport, NJ 08036-2730

Mailing address

1289 Route 38
Suite 203
Hainesport, NJ 08036-2730

Other identifiers 1

IdentifierTypeStateIssuer
8833702MedicaidNJ

Other names 1

  • Drenk - TFC South/IBP Other name

National Provider Directory

National Provider Directory
Tax ID family
Lester a Drenk Behavior27 organizations share this tax ID, including this one
Part of
Lester a Drenk Behavior

Other organizations with this tax ID 26

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

View all 26

Locations

1289 Route 38
Ste 104
Hainesport, NJ 08036
Phone (609) 265-7804

NPI Registry JSON

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235692800000",
    "number": "1669631628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1289 ROUTE 38",
            "address_2": "SUITE 203",
            "city": "HAINESPORT",
            "state": "NJ",
            "postal_code": "080362730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1289 ROUTE 38",
            "address_2": "SUITE 104",
            "city": "HAINESPORT",
            "state": "NJ",
            "postal_code": "080362730",
            "telephone_number": "609-265-7804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LESTER A. DRENK BEHAVIORAL HEATLH CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE LESTER A. DRENK BEHAVIORAL HEALTH CENTER",
        "enumeration_date": "2008-06-05",
        "last_updated": "2009-02-27",
        "status": "A",
        "authorized_official_last_name": "MARMORSTEIN",
        "authorized_official_first_name": "HARRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "609-267-5656"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8833702",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Drenk - TFC South/IBP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hainesport, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2009; 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.