Maryville, INC
Clinic/Center, Rehabilitation, Substance Use Disorder in Northfield, New Jersey
1619474780- Practice location
- 1907 New RD, Northfield, NJ 08225
- Phone
- 856-690-1000
- Fax
- 856-629-3760
- Last updated
- August 1, 2018
Maryville, INC is a healthcare organization based in Northfield, NJ. Maryville, INC practices in Northfield, NJ. The NPI Number for Maryville, INC is 1619474780 and holds a License No. 2000680 (NJ). The current practice location address for Maryville, INC is 1907 New RD, Northfield, NJ 08225 and can be reached out via phone at 856-690-1000 and via fax at 856-629-3760.
Provider Profile Details
- NPI Number
- 1619474780
- Provider Name
- Maryville, INC
- Provider Entity Type
- Organization
- Address
- 1907 New RD, Northfield, NJ 08225
- Phone Number
- 856-690-1000
- Fax Number
- 856-629-3760
- Primary Taxonomy
- Clinic/Center, Rehabilitation, Substance Use Disorder · 261QR0405X
- Organization Subpart
- No
- Authorized Official
- Mr. Jared Levy · Cfo · 856-863-3913
- Provider Enumeration Date
- April 6, 2018
- Last Update Date
- August 1, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1907 New RD
Northfield, NJ 08225 - City
- Northfield
- State
- New Jersey
- Zip
- 08225
- Phone Number
- 856-690-1000
- Fax Number
- 856-629-3760
Provider Business Mailing Address Details
- Address
- 129 Johnson RD Ste 8
Turnersville, NJ 08012-1777 - City
- Turnersville
- State
- NJ
- Zip
- 08012-1777
- Phone Number
- 856-863-3913
- Fax Number
- 856-227-6499
License Information
- License Number
- 2000680
- License State
- NJ
- Taxonomy
- Clinic/Center, Rehabilitation, Substance Use Disorder · 261QR0405X · 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 Maryville, INC?
The NPI number of Maryville, INC is 1619474780. It was assigned on April 6, 2018 and is currently active in the NPPES registry.
What is the specialty of Maryville, INC?
Maryville, INC is registered under the primary taxonomy Clinic/Center, Rehabilitation, Substance Use Disorder (code 261QR0405X), licensed in NJ under license number 2000680.
Where does Maryville, INC practice?
The practice location is 1907 New RD, Northfield, NJ 08225. The office can be reached at 856-690-1000 (phone) or 856-629-3760 (fax).
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 1619474780 directly on the NPPES registry website.