Daytop Village of New Jersey, Inc.

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

2000589 Issued in NJ

Legal business name

DAYTOP VILLAGE OF NEW JERSEY, INC.

Practice address

399 N Main St
Manahawkin, NJ 08050-3069

Phone

(732) 875-1090

Fax

(732) 875-1091

NPI assigned

May 13, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Stephen Scrape

Title

Director of Finance & Controller

Phone

(862) 260-9460

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1431475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505347200000",
    "number": "1922486794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 310",
            "city": "MENDHAM",
            "state": "NJ",
            "postal_code": "079451257",
            "telephone_number": "862-260-9460",
            "fax_number": "862-260-9461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 N MAIN ST",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080503069",
            "telephone_number": "732-875-1090",
            "fax_number": "732-875-1091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAYTOP VILLAGE OF NEW JERSEY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-13",
        "last_updated": "2017-09-14",
        "status": "A",
        "authorized_official_last_name": "SCRAPE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE & CONTROLLER",
        "authorized_official_telephone_number": "862-260-9460",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NJ",
            "license": "2000589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0480711",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Candalynne Datz, BA
• David Gamache
• Deirdre A Davis, C.R.N.A.
• Daytop Village of New Jersey, Inc.
• Daytop Village of New Jersey, Inc.
• Theresa Anne Del Valle, RPH.
• Michael Delrosario, M.D.
• Jessica Delrosso, PHARMACIST
• Deborah Demarco, APN
• Arthur J Demarsico, D.O.

• Substance Use Disorder Rehabilitation Clinic/Center in Manahawkin, NJ
• Providers in Manahawkin, NJ by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2017; 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.