Organization Active NPI

The Kintock Group of New Jersey, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Newark, NJ
National Provider Identifier
1992159446
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
2000294 Issued in NJ
Legal business name
THE KINTOCK GROUP OF NEW JERSEY, INC.
Practice address
19 Meeker Ave
Newark, NJ 07114-1315
Phone
(973) 622-1400
Fax
(973) 622-0396
NPI assigned
Apr 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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

Authorized official

Name
Walter Glenn Simpkins
Title
Chief Executive Officer
Phone
(610) 225-3662

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 2000294 NJ Primary

Addresses

Primary practice location

19 Meeker Ave
Newark, NJ 07114-1315

Mailing address

580 Virginia Dr
Suite 250
Fort Washington, PA 19034-2715
Phone (610) 687-1336

National Provider Directory

National Provider Directory

Locations

19 Meeker Ave
Newark, NJ 07114
Phone (973) 622-1400

580 Virginia Dr
Ste 250
Fort Washington, PA 19034

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1461196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751414400000",
    "number": "1992159446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 VIRGINIA DR",
            "address_2": "SUITE 250",
            "city": "FORT WASHINGTON",
            "state": "PA",
            "postal_code": "190342715",
            "telephone_number": "610-687-1336",
            "fax_number": "610-687-1428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 MEEKER AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071141315",
            "telephone_number": "973-622-1400",
            "fax_number": "973-622-0396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE KINTOCK GROUP OF NEW JERSEY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-21",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A",
        "authorized_official_last_name": "SIMPKINS",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "GLENN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "610-225-3662"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NJ",
            "license": "2000294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; 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.