Organization Active NPI

New Behavioral Network ,Inc

  • Community/Behavioral Health Agency
  • Cherry Hill, NJ
National Provider Identifier
1851392872
Registry record updated May 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
NEW BEHAVIORAL NETWORK ,INC
Practice address
2 Pin Oak LN
Unit 250
Cherry Hill, NJ 08003
Phone
(302) 892-9210
Fax
(302) 892-9199
NPI assigned
Aug 2, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2018

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

Authorized official

Name
Mr. Joseph Boettcher Jr.
Title
Coo
Phone
(856) 669-0217

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X DE
Home Health Agency 251E00000X NJ
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2 Pin Oak LN
Unit 250
Cherry Hill, NJ 08003

Mailing address

2 Pin Oak LN
Suite 250
Cherry Hill, NJ 08003-1632
Phone (856) 669-0211

Other practice location 1

5 Carnegie Plz
Cherry Hill, NJ 08003-1020
Phone (856) 669-0217

Other identifiers 1

IdentifierTypeStateIssuer
00019496MedicaidNJ

National Provider Directory

National Provider Directory

Locations

5 Carnegie Plz
Cherry Hill, NJ 08003
Phone (856) 669-0217

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527638400000",
    "number": "1851392872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 PIN OAK LN",
            "address_2": "SUITE 250",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080031632",
            "telephone_number": "856-669-0211",
            "fax_number": "856-424-8919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 PIN OAK LN",
            "address_2": "UNIT 250",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "08003",
            "telephone_number": "302-892-9210",
            "fax_number": "302-892-9199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Carnegie Plz",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080031020",
            "country_code": "US",
            "telephone_number": "856-669-0217",
            "fax_number": "856-424-8913",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEW BEHAVIORAL NETWORK ,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-02",
        "last_updated": "2018-05-30",
        "status": "A",
        "authorized_official_last_name": "BOETTCHER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "856-669-0217",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "DE",
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00019496",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2018; 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.