Organization Active NPI

Trinity Support Care

  • Community/Behavioral Health Agency
  • Williamstown, NJ
National Provider Identifier
1760076111
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
TRINITY SUPPORT CARE
Practice address
625 Stockton Dr
Williamstown, NJ 08094-1988
Phone
(856) 519-8613
NPI assigned
Feb 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

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

Authorized official

Name
Oluwatimilehin Adedokun, MPH
Title
Administrator
Phone
(856) 519-8613

Specialties & licenses 1

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

Addresses

Primary practice location

625 Stockton Dr
Williamstown, NJ 08094-1988

Mailing address

625 Stockton Dr
Williamstown, NJ 08094-1988
Phone (856) 519-8613

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1614211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614211200000",
    "number": "1760076111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 STOCKTON DR",
            "city": "WILLIAMSTOWN",
            "state": "NJ",
            "postal_code": "080941988",
            "telephone_number": "856-519-8613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 STOCKTON DR",
            "city": "WILLIAMSTOWN",
            "state": "NJ",
            "postal_code": "080941988",
            "telephone_number": "856-519-8613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY SUPPORT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-25",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A",
        "authorized_official_last_name": "ADEDOKUN",
        "authorized_official_first_name": "OLUWATIMILEHIN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "856-519-8613",
        "authorized_official_credential": "MPH"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamstown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; 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.