Advoserv of New Jersey, Inc.
Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Ewing, NJ
NPI 1972089753 · NPPES record last updated Jul 16, 2018
Key facts
- NPI
- 1972089753
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
- Legal business name
- ADVOSERV OF NEW JERSEY, INC.
- Practice address
- 1144 River Rd
Ewing, NJ 08628-2106 - Phone
- (856) 241-3320
- Fax
- (856) 241-3321
- NPI assigned
- Jul 16, 2018
- Organization subpart
- Yes
- Parent organization (as reported)
- ADVOSERV OF NEW JERSEY, INC.
Authorized official
- Name
- Michael Wilder, MHSA
- Title
- Senior VP of Operations
- Phone
- (856) 241-3320
Corporate family (same tax ID) 14
National Provider Directory
- Tax ID family
- Advoserv of New Jersey Inc
- Part of
- Advoserv of New Jersey Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Yes |
Addresses
Primary practice location
1144 River Rd
Ewing, NJ 08628-2106
Mailing address
510 Heron Dr Ste 114
Swedesboro, NJ 08085-1767
Phone (856) 241-3320
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0463591 | Medicaid | NJ |
Other providers in Ewing, NJ
- Advancing Opportunities, Inc.
- Advancing Opportunities, Inc.
- Advocare , LLC
- Advoserv of New Jersey, Inc.
- Advoserv of New Jersey, Inc.
- Aesculap Therapeutic & Sports Massage, LLC
- Affordable Dentures - Ewing, Stephanie Harding, DDS, P.a.
- Affordable Dentures - Hye-Eun Kim, DMD, a Prof. Assoc
- Silverio Agosto
- Kristine Aguilar
All providers in Ewing, NJ · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.