ELWYN NEW JERSEY (NPI# 1003469396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003469396 |
| Entity Type | Organization |
| Organization Name | ELWYN NEW JERSEY |
| Practice Address |
150 Delsea Dr Sewell NJ 08080-9478 |
| Mailing Address |
228 W Landis Ave Ste 302 Vineland NJ 08360-8139 |
| Practice Telephone | 8567945300 |
| Mailing Telephone | 8567945300 |
| Enumeration Date | 2019-07-17 |
| Last Update Date | 2020-03-12 |
| Authorized Official Name | MR. HUSAM ABDALLAH (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8567945300 |
| Is Organization Subpart | Y |
| Parent Organization Name | ELWYN NEW JERSEY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689236200 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3239 Glassboro Cross Keys Rd, Williamstown, NJ 08094-3374 | 2019-07-03 |
| 1457910002 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 303 Williamson Ln, Mullica Hill, NJ 08062-4409 | 2019-06-07 |
| 1669037636 | Elwyn New Jersey | Day Training, Developmentally Disabled Services | Elwyn New Jersey Supported Employment Small Group, 228 W. Landis Avenue, Suite 302, Vineland, NJ 08360 | 2019-05-06 |
| 1245791532 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 383 Whig Lane Rd, Pilesgrove, NJ 08098-3217 | 2019-03-28 |
| 1245798297 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2 Fox Haven Ln, Mullica Hill, NJ 08062-9602 | 2019-03-08 |
| 1770041790 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1765 Country Club Dr, Cherry Hill, NJ 08003-3364 | 2019-03-08 |
| 1518421684 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 506 Spruce St, Glassboro, NJ 08028-3346 | 2019-01-23 |
| 1427512599 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 210 Pennsylvania Avenue, Glassboro, NJ 08028 | 2019-01-23 |
| 1932693959 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 417 Franklin Rd, Glassboro, NJ 08028-1527 | 2018-06-22 |
| 1700375029 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 231 Trimmel Ave, Franklinville, NJ 08322-2264 | 2018-05-02 |
| Street Address |
150 DELSEA DR |
| City | SEWELL |
| State | NJ |
| Zip Code | 08080-9478 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821309154 | Nickolas M Tyris | Internal Medicine | 150 Delsea Dr, Suite B, Sewell, NJ 08080-9478 | 2010-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679180301 | Peter Ansong | Pharmacist | 500 Egg Harbor Road, Sewell, NJ 08080 | 2020-09-27 |
| 1477018752 | Shi-iii Washington Township LLC | Alzheimer Center (Dementia Center) | 339 Greentree Road, Washington Township, NJ 08080 | 2019-01-31 |
| 1245741495 | Assoc. for Retarded Citizens. Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1 Fawn Drive, Sewell, NJ 08080 | 2017-10-16 |
| 1851802029 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 275 Greentree Road, Sewell, NJ 08080 | 2017-10-16 |
| 1598284770 | Bryan Hendricks | Psychologist | 123 Egg Harbor Rd., Suite 302, Sewell, NJ 08080 | 2017-09-19 |
| 1912426339 | Mary Faralli | Speech-Language Pathologist | 24 Upton Way, Sewell, NJ 08080 | 2017-09-18 |
| 1669990578 | Oaks Integrated Care | Clinic/Center | 322 Fishpond Rd, Sewell, NJ 08080 | 2017-08-31 |
| 1972032316 | Nutan K Ravani | Social Worker | 3 Heritage Valley Drive, Sewell, NJ 08080 | 2017-06-08 |
| 1447784038 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 224 West Warren Avenue, Sewell, NJ 08080 | 2017-04-20 |
| 1326572173 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 363 Ganttown Road, Turnersville, NJ 08080 | 2017-04-19 |
| Find all providers in zip 08080 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790173888 | Peace of Mind Counseling Center, LLC | Community/Behavioral Health | 429 Woodbury Glassboro Rd, Suite 200, Sewell, NJ 08080-4559 | 2014-12-26 |
| 1538410675 | Newpoint Behavioral Health Care, Inc | Community/Behavioral Health | 200 Holly Dell Dr, Pact Program, Sewell, NJ 08080-9318 | 2012-09-28 |
| 1801944590 | Archway Programs, Inc. | Community/Behavioral Health | 1 Neptune Dr N, Sewell, NJ 08080-2126 | 2007-01-08 |
| 1639723430 | Acenda, Inc. | Community/Behavioral Health | 1070 Main St, Sewell, NJ 08080-4554 | 2019-07-30 |
| 1972155646 | Acenda, Inc. | Community/Behavioral Health | 200 Holly Dell Dr, Sewell, NJ 08080-9318 | 2019-07-12 |
| 1417509183 | Acenda, Inc. | Community/Behavioral Health | 200 Holly Dell Dr, Sewell, NJ 08080-9318 | 2019-07-12 |
| 1205488020 | Acenda, Inc. | Community/Behavioral Health | 1070 Main St, Sewell, NJ 08080-4554 | 2019-07-11 |
| 1710470588 | Typhanie Bates | Community/Behavioral Health | 1 Neptune Dr N, Sewell, NJ 08080-2126 | 2018-06-07 |
| 1538599329 | Newpoint Behavioral Health Care | Community/Behavioral Health | 1070 Main St, Sewell, NJ 08080-4554 | 2013-11-15 |
| 1851721674 | Newpoint Behavioral Helth Care | Community/Behavioral Health | 200 Holly Dell Dr, Sewell, NJ 08080-9318 | 2013-11-14 |
| Find all providers in SEWELL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.