Crossroads Treatment Center of Woodbury Heights

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

Legal business name

CROSSROADS TREATMENT CENTER OF WOODBURY HEIGHTS

Practice address

40 Elm Ave
Woodbury Heights, NJ 08097-1140

Phone

(800) 805-6989

Fax

(864) 558-8511

NPI assigned

Jun 6, 2022

Organization subpart

Yes

Parent organization

CROSSROADS OF NEW JERSEY MANAGEMENT, LLCAs reported in NPPES

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

Authorized official

Name

Rupert McCormac, MD

Title

President

Phone

(864) 558-9317

Specialties & licenses 6

Addresses

Other identifiers 1

Other names 1

• Crossroads Treatment Center of Woodbury Heights Doing business as

Electronic endpoints 1

Tax ID family

Crossroads Treatment Center of Woodbury Heights3 organizations share this tax ID, including this one

Part of

Crossroads Treatment Center of Woodbury Heights

Other organizations with this tax ID 2

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

• Crossroads of New Jersey Management, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Williamstown, NJ
  • NPI 1477227064
  NPD tax ID
• Crossroads of New Jersey Management, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Pennsauken, NJ
  • NPI 1487328076
  NPD tax ID

Locations

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

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655510400000",
    "number": "1851020986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E BROAD ST STE 300",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012891",
            "telephone_number": "800-805-6989",
            "fax_number": "864-558-8511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 ELM AVE",
            "city": "WOODBURY HEIGHTS",
            "state": "NJ",
            "postal_code": "080971140",
            "telephone_number": "800-805-6989",
            "fax_number": "864-558-8511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS TREATMENT CENTER OF WOODBURY HEIGHTS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CROSSROADS OF NEW JERSEY MANAGEMENT, LLC",
        "enumeration_date": "2022-06-06",
        "last_updated": "2022-06-18",
        "certification_date": "2022-06-18",
        "status": "A",
        "authorized_official_last_name": "MCCORMAC",
        "authorized_official_first_name": "RUPERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-558-9317",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PENDING",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Other",
            "affiliation": "N",
            "endpointDescription": "LOCATION",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "40 Elm Ave",
            "city": "Woodbury Heights",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080971140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Crossroads Treatment Center of Woodbury Heights",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Crossroads Treatment Center of Woodbury Heights",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Breakthrough Treatment Centers LLC
• Dennis T Casterline, DC
• Chiromed-21PC
• David Anthony Contino, PT
• Dana Croft
• Durand, Inc.
• Eastern Dental of Woodbury Heights, LLC
• Experience. Reflect. Advance. LLC
• Emily Feldman, APN
• Elizabeth Figueiredo, DO

• Methadone Clinic in Woodbury Heights, NJ
• Providers in Woodbury Heights, NJ by specialty
• Methadone Clinic in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2022; 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.