Nicholas Stafford, CPRS
Substance Abuse Rehabilitation Facility in Pemberton, New Jersey
1700594488- Practice location
- 610 Pemberton Browns Mills RD, Pemberton, NJ 08068-1537
- Phone
- 609-321-6269
- Fax
- 609-283-0262
- Last updated
- November 10, 2022
Nicholas Stafford is a Substance Abuse Rehabilitation Facility based in Pemberton, NJ. Nicholas Stafford practices in Pemberton, NJ and has the professional credentials of CPRS. The NPI Number for Nicholas Stafford is 1700594488 and holds a License No. 1000140 (NJ). The current practice location address for Nicholas Stafford is 610 Pemberton Browns Mills RD, Pemberton, NJ 08068-1537 and can be reached out via phone at 609-321-6269 and via fax at 609-283-0262.
Provider Profile Details
- NPI Number
- 1700594488
- Provider Name
- Nicholas Stafford
- Credential
- CPRS
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 610 Pemberton Browns Mills RD, Pemberton, NJ 08068-1537
- Phone Number
- 609-321-6269
- Fax Number
- 609-283-0262
- Primary Taxonomy
- Substance Abuse Rehabilitation Facility · 324500000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- November 10, 2022
- Last Update Date
- November 10, 2022
- Certification Date
- November 10, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 610 Pemberton Browns Mills RD
Pemberton, NJ 08068-1537 - City
- Pemberton
- State
- New Jersey
- Zip
- 08068-1537
- Phone Number
- 609-321-6269
- Fax Number
- 609-283-0262
Provider Business Mailing Address Details
- Address
- 610 Pemberton Browns Mills RD
Pemberton, NJ 08068-1537 - City
- Pemberton
- State
- NJ
- Zip
- 08068-1537
- Phone Number
- 609-321-6269
License Information
- License Number
- 1000140
- License State
- NJ
- 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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- Maryville, INCSubstance Abuse Rehabilitation Facility · NPI 1457851107
- Nicole M Storer, CPRSSubstance Abuse Rehabilitation Facility · NPI 1457105132
Frequently Asked Questions
What is the NPI number of Nicholas Stafford, CPRS?
The NPI number of Nicholas Stafford, CPRS is 1700594488. It was assigned on November 10, 2022 and is currently active in the NPPES registry.
What is the specialty of Nicholas Stafford, CPRS?
Nicholas Stafford, CPRS is registered under the primary taxonomy Substance Abuse Rehabilitation Facility (code 324500000X), licensed in NJ under license number 1000140.
Where does Nicholas Stafford, CPRS practice?
The practice location is 610 Pemberton Browns Mills RD, Pemberton, NJ 08068-1537. The office can be reached at 609-321-6269 (phone) or 609-283-0262 (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 1700594488 directly on the NPPES registry website.