The Devereux Foundation

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

GH991 Issued in NJ

Legal business name

THE DEVEREUX FOUNDATION

Doing business as

Devereux Advanced Behavioral Health

Practice address

504 Mayfair Lane
Neptune City, NJ 07753

Phone

(856) 599-6400

Fax

(856) 599-6404

NPI assigned

Apr 19, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Carole Cirucci

Title

Director of Finance

Phone

(856) 599-6429

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Devereux Advanced Behavioral Health Doing business as

Tax ID family

The Devereux Foundation332 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Devereux Advanced Behavioral Health

  dba The Devereux Foundation

  • Developmentally Disabled Services Day Training Agency
  • West Deptford, NJ
  • NPI 1841920329
  NPD tax ID
• Devereux Bridgeton

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Bridgeton, NJ
  • NPI 1770969065
  NPD tax ID
• Devereux Foundation

  dba Devereux Advanced Behavioral Health

  • Developmentally Disabled Services Day Training Agency
  • Vineland, NJ
  • NPI 1679230486
  NPD tax ID
• Devereux Foundation

  dba Devereux Advanced Behavioral Health

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Clarksboro, NJ
  • NPI 1700443579
  NPD tax ID
• Devereux Foundation

  dba Devereux Advanced Behavioral Health

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Pilesgrove, NJ
  • NPI 1801435466
  NPD tax ID
• Devereux Foundation

  dba Devereux Advanced Behavioral Health

  • Developmentally Disabled Services Day Training Agency
  • Vineland, NJ
  • NPI 1811653843
  NPD tax ID
• Devereux Foundation

  dba Devereux Advanced Behavioral Health

  • Developmentally Disabled Services Day Training Agency
  • Lakehurst, NJ
  • NPI 1861115081
  NPD tax ID
• The Devereux Foundation

  dba Devereux Advanced Behavioral Health

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Ringwood, NJ
  • NPI 1649704230
  NPD tax ID
• The Devereux Foundation

  dba Devereux Advanced Behavioral Health

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Deptford, NJ
  • NPI 1649704313
  NPD tax ID
• The Devereux Foundation

  dba Devereux Advanced Behavioral Health

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Bridgeton, NJ
  • NPI 1649704602
  NPD tax ID
• The Devereux Foundation

  • Mental Illness Community Based Residential Treatment Facility
  • Paulsboro, NJ
  • NPI 1669518254
  NPD tax ID
• The Devereux Foundation

  dba Devereux Advanced Behavioral Health

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Hasbrouck Heights, NJ
  • NPI 1700310380
  NPD tax ID

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

{
    "created_epoch": "1492560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492560000000",
    "number": "1760916431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "286 MANTUA GROVE ROAD, BUILDING #4",
            "city": "WEST DEPTFORD",
            "state": "NJ",
            "postal_code": "08066",
            "telephone_number": "856-599-6400",
            "fax_number": "856-599-6404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 MAYFAIR LANE",
            "city": "NEPTUNE CITY",
            "state": "NJ",
            "postal_code": "07753",
            "telephone_number": "856-599-6400",
            "fax_number": "856-599-6404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DEVEREUX FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-19",
        "last_updated": "2017-04-19",
        "status": "A",
        "authorized_official_last_name": "CIRUCCI",
        "authorized_official_first_name": "CAROLE",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "856-599-6429",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NJ",
            "license": "GH991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0399507",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Devereux Advanced Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eric Joseph Steinberger, DPT, PT
• Kylie Noelle Stephens, P.A.
• Kristin Ann Stropnicky, D.O.
• Patrick Sullivan
• Rebecca Sun
• Johana M Torres, FNP
• Shameca Nichelle Trotman-Mitchell
• Zoryana E Tuz, PHYSICIAN ASSISTANT
• University Anesthesia Services
• Shreya Venkat, MD

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Neptune City, NJ
• Providers in Neptune City, NJ by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2017; 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.