NPIMap

Organization Active NPI

New Hope Foundation Mattie House

  • Substance Abuse Rehabilitation Facility
  • Marlboro, NJ
National Provider Identifier
1740518240
Registry record updated Nov 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
81351 Issued in NJ
Legal business name
NEW HOPE FOUNDATION MATTIE HOUSE
Practice address
86 Conover Rd
Marlboro, NJ 07746-1003
Phone
(732) 817-0616
Fax
(732) 817-0617
NPI assigned
Nov 23, 2009
Organization subpart
Yes
Parent organization
NEW HOPE FOUNDATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 23, 2009

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

Authorized official

Name
Dr. Tony W Comerford, PHD
Title
Ceo/Executive Director
Phone
(732) 946-3030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 81351 NJ Primary

Addresses

Primary practice location

86 Conover Rd
Marlboro, NJ 07746-1003

Mailing address

86 Conover Rd
Marlboro, NJ 07746-1003
Phone (732) 817-0616

Other identifiers 1

IdentifierTypeStateIssuer
0189197MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
New Hope Foundation Inc9 organizations share this tax ID, including this one
Part of
New Hope Foundation Inc

Other organizations with this tax ID 8

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": "1258934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258934400000",
    "number": "1740518240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 CONOVER RD",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "077461003",
            "telephone_number": "732-817-0616",
            "fax_number": "732-817-0617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 CONOVER RD",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "077461003",
            "telephone_number": "732-817-0616",
            "fax_number": "732-817-0617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HOPE FOUNDATION MATTIE HOUSE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEW HOPE FOUNDATION",
        "enumeration_date": "2009-11-23",
        "last_updated": "2009-11-23",
        "status": "A",
        "authorized_official_last_name": "COMERFORD",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CEO/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "732-946-3030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NJ",
            "license": "81351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0189197",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlboro, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.