NPIMap

Organization Active NPI

Maryville, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Turnersville, NJ
National Provider Identifier
1922518299
Registry record updated Oct 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
2000132 Issued in NJ
Legal business name
MARYVILLE, INC
Practice address
129 Johnson Rd Ste 7
Turnersville, NJ 08012-1777
Phone
(856) 863-3913
Fax
(856) 863-3917
NPI assigned
Oct 2, 2017
Last updated
Oct 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2026

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

Authorized official

Name
Veonica Gadden
Title
Billing Supervisor
Phone
(856) 863-3913

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 2000132 NJ Primary

Addresses

Primary practice location

129 Johnson Rd Ste 7
Turnersville, NJ 08012-1777

Mailing address

129 Johnson Rd Ste 7
Turnersville, NJ 08012-1777
Phone (856) 863-3913

Other practice location 1

526 S Burnt Mill Rd
Voorhees, NJ 08043-2205
Phone (856) 227-2717

Other names 1

  • MARYVILLE ADDICTION TREATMENT CENTER Other name

National Provider Directory

National Provider Directory
Tax ID family
Maryville Inc15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

Locations

129 Johnson Rd
Ste 7
Turnersville, NJ 08012
Phone (856) 227-2717

NPI Registry JSON

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

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793318400000",
    "number": "1922518299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 JOHNSON RD STE 7",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "080121777",
            "telephone_number": "856-863-3913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 JOHNSON RD STE 7",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "080121777",
            "telephone_number": "856-863-3913",
            "fax_number": "856-863-3917"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "526 S Burnt Mill Rd",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "080432205",
            "country_code": "US",
            "telephone_number": "856-227-2717",
            "fax_number": "856-227-6499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MARYVILLE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-02",
        "last_updated": "2026-10-30",
        "certification_date": "2026-10-30",
        "status": "A",
        "authorized_official_last_name": "GADDEN",
        "authorized_official_first_name": "VEONICA",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "856-863-3913"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NJ",
            "license": "2000132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARYVILLE ADDICTION TREATMENT CENTER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Turnersville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2026; 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.