Theracare of New Jersey LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

THERACARE OF NEW JERSEY LLC

Practice address

6981 N Park Dr
West Building Suite 504
Pennsauken, NJ 08109-4205

Phone

(800) 393-1306

NPI assigned

Jan 30, 2007

Last updated

Aug 22, 2020By 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

Mr. John Calderon

Title

President

Phone

(212) 564-2350

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Theracare of New Jersey LLC3 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.

• Theracare of New Jersey LLC

  • Community/Behavioral Health Agency
  • Clark, NJ
  • NPI 1174669626
  NPD tax ID
• Theracare of New Jersey LLC

  • Community/Behavioral Health Agency
  • Clark, NJ
  • NPI 1881731958
  NPD tax ID

Locations

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679619126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6981 N PARK DR",
            "address_2": "WEST BUILDING SUITE 504",
            "city": "PENNSAUKEN",
            "state": "NJ",
            "postal_code": "081094205",
            "telephone_number": "800-393-1306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6981 N PARK DR",
            "address_2": "WEST BUILDING SUITE 504",
            "city": "PENNSAUKEN",
            "state": "NJ",
            "postal_code": "081094205",
            "telephone_number": "800-393-1306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERACARE OF NEW JERSEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CALDERON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-564-2350",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0020214",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bathsheba Swain
• Cynthia Taylor, REGISTERED NURSE
• Tamya Taylor
• The Lester a. Drenk Behavioral Health Center, Inc.
• The Work Group
• Tiandra Thomas, RBT
• Alva Thompson
• Susan M Thompson, RN, APN
• Thrive Together Counseling Center
• Tier 1 Fitness

• Community/Behavioral Health Agency in Pennsauken, NJ
• Providers in Pennsauken, NJ by specialty
• Community/Behavioral Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.