Active NPIIndividual providerSole proprietor

Casey Moss

Substance Abuse Rehabilitation Facility in Pemberton, New Jersey

NPI Number1902511223
Practice location
610 Pemberton Browns Mills RD, Pemberton, NJ 08068-1537
Fax
609-283-0262
Last updated
January 20, 2023

Casey Moss is a Substance Abuse Rehabilitation Facility based in Pemberton, NJ. Casey Moss practices in Pemberton, NJ. The NPI Number for Casey Moss is 1902511223 and holds a License No. 1000140 (NJ). The current practice location address for Casey Moss is 610 Pemberton Browns Mills RD, Pemberton, NJ 08068-1537 and can be reached out via phone at 609-519-1816 and via fax at 609-283-0262.

Provider Profile Details

NPI Number
1902511223
Provider Name
Casey Moss
Provider Entity Type
Individual
Gender
Female
Address
610 Pemberton Browns Mills RD, Pemberton, NJ 08068-1537
Phone Number
609-519-1816
Fax Number
609-283-0262
Primary Taxonomy
Substance Abuse Rehabilitation Facility · 324500000X
Sole Proprietor
Yes
Provider Enumeration Date
January 20, 2023
Last Update Date
January 20, 2023
Certification Date
January 20, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
610 Pemberton Browns Mills RD
Pemberton, NJ 08068-1537
Zip
08068-1537
Phone Number
609-519-1816
Fax Number
609-283-0262
Pemberton, NJ 08068Get directions →

Provider Business Mailing Address Details

Address
610 Pemberton Browns Mills RD
Pemberton, NJ 08068-1537
City
Pemberton
State
NJ
Zip
08068-1537
Phone Number
609-519-1816
Fax Number
609-283-0262

License Information

License Number
1000140
License State
NJ
Taxonomy
Substance Abuse Rehabilitation Facility · 324500000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Casey Moss?

The NPI number of Casey Moss is 1902511223. It was assigned on January 20, 2023 and is currently active in the NPPES registry.

What is the specialty of Casey Moss?

Casey Moss is registered under the primary taxonomy Substance Abuse Rehabilitation Facility (code 324500000X), licensed in NJ under license number 1000140.

Where does Casey Moss practice?

The practice location is 610 Pemberton Browns Mills RD, Pemberton, NJ 08068-1537. The office can be reached at 609-519-1816 (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 1902511223 directly on the NPPES registry website.

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