Devereux Bridgeton
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Bridgeton, New Jersey
1770969065- Practice location
- 198 Roadstown RD, Bridgeton, NJ 08302-5747
- Phone
- 856-599-6400
- Fax
- 856-599-6404
- Last updated
- May 9, 2017
Devereux Bridgeton is a healthcare organization based in Bridgeton, NJ. Devereux Bridgeton practices in Bridgeton, NJ. The NPI Number for Devereux Bridgeton is 1770969065. The current practice location address for Devereux Bridgeton is 198 Roadstown RD, Bridgeton, NJ 08302-5747 and can be reached out via phone at 856-599-6400 and via fax at 856-599-6404.
Provider Profile Details
- NPI Number
- 1770969065
- Provider Name
- Devereux Bridgeton
- Provider Entity Type
- Organization
- Address
- 198 Roadstown RD, Bridgeton, NJ 08302-5747
- Phone Number
- 856-599-6400
- Fax Number
- 856-599-6404
- Primary Taxonomy
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · 320900000X
- Organization Subpart
- No
- Authorized Official
- Mrs. Carole Cirucci · Finance Director · 856-599-6429
- Provider Enumeration Date
- August 10, 2015
- Last Update Date
- May 9, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 198 Roadstown RD
Bridgeton, NJ 08302-5747 - City
- Bridgeton
- State
- New Jersey
- Zip
- 08302-5747
- Phone Number
- 856-599-6400
- Fax Number
- 856-599-6404
Provider Business Mailing Address Details
- Address
- 286 Mantua Grove RD
Building #4
West Deptford, NJ 08066-1738 - City
- West Deptford
- State
- NJ
- Zip
- 08066-1738
- Phone Number
- 856-599-6400
- Fax Number
- 856-599-6404
License Information
- Taxonomy
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · 320900000X · 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 Devereux Bridgeton?
The NPI number of Devereux Bridgeton is 1770969065. It was assigned on August 10, 2015 and is currently active in the NPPES registry.
What is the specialty of Devereux Bridgeton?
Devereux Bridgeton is registered under the primary taxonomy Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (code 320900000X).
Where does Devereux Bridgeton practice?
The practice location is 198 Roadstown RD, Bridgeton, NJ 08302-5747. The office can be reached at 856-599-6400 (phone) or 856-599-6404 (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 1770969065 directly on the NPPES registry website.