Ambrosia Of New Jersey LLC
Substance Abuse Rehabilitation Facility in Medford, New Jersey
1194298976- Practice location
- 287 Old Marlton Pike, Medford, NJ 08055-8761
- Phone
- 561-578-8600
- Fax
- —
- Last updated
- January 4, 2019
Ambrosia Of New Jersey LLC is a healthcare organization based in Medford, NJ. Ambrosia Of New Jersey LLC practices in Medford, NJ. The NPI Number for Ambrosia Of New Jersey LLC is 1194298976. The current practice location address for Ambrosia Of New Jersey LLC is 287 Old Marlton Pike, Medford, NJ 08055-8761 and can be reached out via phone at 561-578-8600.
Provider Profile Details
- NPI Number
- 1194298976
- Provider Name
- Ambrosia Of New Jersey LLC
- Provider Entity Type
- Organization
- Address
- 287 Old Marlton Pike, Medford, NJ 08055-8761
- Phone Number
- 561-578-8600
- Primary Taxonomy
- Substance Abuse Rehabilitation Facility · 324500000X
- Organization Subpart
- Yes
- Parent Organization
- Discovery Practice Management, INC
- Authorized Official
- William Bradley Cooper · Cfo · 714-947-7351
- Other Names
- Pinelands Recovery Center Of Medford (Doing Business As)
- Provider Enumeration Date
- January 4, 2019
- Last Update Date
- January 4, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 287 Old Marlton Pike
Medford, NJ 08055-8761 - City
- Medford
- State
- New Jersey
- Zip
- 08055-8761
- Phone Number
- 561-578-8600
Provider Business Mailing Address Details
- Address
- 4821 Katella Ave
Suite 111
Los Alamitos, CA 90720 - City
- Los Alamitos
- State
- CA
- Zip
- 90720
- Phone Number
- 714-828-1800
License Information
- Taxonomy
- Substance Abuse Rehabilitation Facility · 324500000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Ambrosia Of New Jersey LLC?
The NPI number of Ambrosia Of New Jersey LLC is 1194298976. It was assigned on January 4, 2019 and is currently active in the NPPES registry.
What is the specialty of Ambrosia Of New Jersey LLC?
Ambrosia Of New Jersey LLC is registered under the primary taxonomy Substance Abuse Rehabilitation Facility (code 324500000X).
Where does Ambrosia Of New Jersey LLC practice?
The practice location is 287 Old Marlton Pike, Medford, NJ 08055-8761. The office can be reached at 561-578-8600 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194298976 directly on the NPPES registry website.