NPIMap

Organization Active NPI

New Hope Foundation Freehold Outpatient

  • Substance Abuse Rehabilitation Facility
  • Freehold, NJ
National Provider Identifier
1881839942
Registry record updated Dec 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
81351 Issued in NJ
Legal business name
NEW HOPE FOUNDATION FREEHOLD OUTPATIENT
Practice address
2 Monmouth Ave # A2
Freehold, NJ 07728-1970
Phone
(732) 308-0113
Fax
(732) 308-0115
NPI assigned
Dec 3, 2008
Last updated
Dec 3, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
NEW HOPE FOUNDATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 3, 2008

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

Authorized official

Name
Dr. Tony W Comerford, PHD
Title
Ceo/Executive Director
Phone
(732) 946-3030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 81351 NJ Primary

Addresses

Primary practice location

2 Monmouth Ave # A2
Freehold, NJ 07728-1970

Mailing address

2 Monmouth Ave # A2
Freehold, NJ 07728-1970
Phone (732) 308-0113

Other identifiers 2

IdentifierTypeStateIssuer
6190502MedicaidNJ
7632002MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
New Hope Foundation Inc9 organizations share this tax ID, including this one
Part of
New Hope Foundation Inc

Other organizations with this tax ID 8

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

Locations

2 Monmouth Ave
#A2
Freehold, NJ 07728
Phone (732) 308-0113

Practitioners & affiliated clinicians

Practitioners 1

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": "1228262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228262400000",
    "number": "1881839942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MONMOUTH AVE # A2",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077281970",
            "telephone_number": "732-308-0113",
            "fax_number": "732-308-0115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MONMOUTH AVE # A2",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077281970",
            "telephone_number": "732-308-0113",
            "fax_number": "732-308-0115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HOPE FOUNDATION FREEHOLD OUTPATIENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEW HOPE FOUNDATION",
        "enumeration_date": "2008-12-03",
        "last_updated": "2008-12-03",
        "status": "A",
        "authorized_official_last_name": "COMERFORD",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CEO/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "732-946-3030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NJ",
            "license": "81351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6190502",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7632002",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2008; 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.