NPIMap

Organization Active NPI

Legacy Treatment Serivces, Inc.

  • Community/Behavioral Health Agency
  • Northfield, NJ
National Provider Identifier
1861994188
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LEGACY TREATMENT SERIVCES, INC.
Practice address
561 Tilton Rd
Northfield, NJ 08225-1217
Phone
(609) 267-5656
NPI assigned
Mar 2, 2018
Last updated
Mar 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Authorized official

Name
Christine KirkbrideNPI 1659514438
Title
Ceo
Phone
(609) 267-5656

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

561 Tilton Rd
Northfield, NJ 08225-1217

Mailing address

1289 Route 38 Ste 203
Hainesport, NJ 08036-2730

Other practice location 1

507 Tilton Rd
Northfield, NJ 08225-1217
Phone (609) 267-5656

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150825003854 NJ Part B Supplier - Clinic/Group Practice 0042526899 Receives reassigned benefits from 20 practitioners
8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Hainesport, NJ; Berlin, NJ; Westampton, NJ; Northfield, NJ; Mannington, NJ; Monmouth Junction, NJ

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Legacy TRMT SVC Inc116 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.

View all 24

Locations

507 Tilton Rd
Northfield, NJ 08225
Phone (609) 634-9413

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1519948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711497600000",
    "number": "1861994188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1289 ROUTE 38 STE 203",
            "city": "HAINESPORT",
            "state": "NJ",
            "postal_code": "080362730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "561 TILTON RD",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082251217",
            "telephone_number": "609-267-5656"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "507 Tilton Rd",
            "address_purpose": "LOCATION",
            "city": "Northfield",
            "state": "NJ",
            "postal_code": "082251217",
            "country_code": "US",
            "telephone_number": "609-267-5656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LEGACY TREATMENT SERIVCES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-02",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A",
        "authorized_official_last_name": "KIRKBRIDE",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "609-267-5656"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.