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Advoserv of New Jersey, Inc.

Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Hewitt, NJ

NPI 1770048548 · NPPES record last updated Feb 6, 2019

Key facts

NPI
1770048548
Entity type
Organization (NPI type 2)
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
Legal business name
ADVOSERV OF NEW JERSEY, INC.
Practice address
1801 Greenwood Lake Tpke
Hewitt, NJ 07421-3008
Phone
(856) 241-3320
NPI assigned
Feb 6, 2019
Organization subpart
Yes
Parent organization (as reported)
ADVOSERV OF NEW JERSEY, INC.

Authorized official

Name
Mark Donati
Title
Coo
Phone
(856) 241-3320

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Advoserv of New Jersey Inc (92 organizations share this tax ID)
Part of
Advoserv of New Jersey Inc

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Yes

Addresses

Primary practice location

1801 Greenwood Lake Tpke
Hewitt, NJ 07421-3008

Mailing address

510 Heron Dr Ste 114
Swedesboro, NJ 08085-1767

Other identifiers

IdentifierTypeStateIssuer
0463591MedicaidNJ

Other providers in Hewitt, NJ

All providers in Hewitt, NJ · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in New Jersey

Sources for this page

Verify at the official NPI Registry.