NPIMap

Organization Active NPI

Intervention Specialist

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Elizabeth, NJ
National Provider Identifier
1750755963
Registry record updated Nov 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
INTERVENTION SPECIALIST
Practice address
583 Cherry St
Elizabeth, NJ 07208-1754
Phone
(908) 289-0700
NPI assigned
Nov 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2015

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

Authorized official

Name
Rohan Campbell
Title
Ceo/President
Phone
(973) 953-8896

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NJ Primary

Addresses

Primary practice location

583 Cherry St
Elizabeth, NJ 07208-1754

Mailing address

583 Cherry St
Elizabeth, NJ 07208-1754

National Provider Directory

National Provider Directory
Tax ID family
Intervention Specialist3 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.

Locations

333 N Broad St
Ste B
Elizabeth, NJ 07208

NPI Registry JSON

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

{
    "created_epoch": "1448496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448496000000",
    "number": "1750755963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "583 CHERRY ST",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072081754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "583 CHERRY ST",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072081754",
            "telephone_number": "908-289-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERVENTION SPECIALIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-26",
        "last_updated": "2015-11-26",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "ROHAN",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "973-953-8896"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2015; 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.