MERAKEY PARKSIDE RECOVERY (NPI# 1104016708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104016708 |
| Entity Type | Organization |
| Organization Name | MERAKEY PARKSIDE RECOVERY |
| Other Organization Name | NHS PARKSIDE RECOVERY |
| Practice Address |
413 S Broadway Camden NJ 08103-1211 |
| Mailing Address |
906 Bethlehem Pike Erdenheim PA 19038-7731 |
| Practice Telephone | 2158363131 |
| Practice Fax Number | 2158362609 |
| Mailing Telephone | 2158363131 |
| Mailing Fax Number | 2158362609 |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2018-04-19 |
| Authorized Official Name | MR. NORMAN E TILSON JR. (CORP SR. DIRECTOR OF BUSINESS OPS) |
| Authorized Official Telephone | 2158363131 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 8916004 | 05 | |
| NJ | 8939501 | 05 |
| Other Name | Type Code |
|---|---|
| NHS Parkside Recovery | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831313535 | Merakey Parkside Recovery | Family Medicine | 5000 Parkside Ave, Philadelphia, PA 19131-4714 | 2007-04-12 |
| 1780808493 | Merakey Parkside Recovery | Community/Behavioral Health | 4806 Frankford Ave Fl 2, Philadelphia, PA 19124-2606 | 2007-04-12 |
| 1881716223 | Merakey Parkside Recovery | Public Health or Welfare | 5429 Germantown Ave, Philadelphia, PA 19144-2223 | 2007-04-05 |
| 1063668150 | Merakey Parkside Recovery | Community/Behavioral Health | 11082 Knights Rd, Philadelphia, PA 19154-3511 | 2008-08-08 |
| 1386869857 | Merakey Parkside Recovery | Family Medicine | 4806 Frankford Ave Fl 2, Philadelphia, PA 19124-2606 | 2007-04-17 |
| 1740293935 | Merakey Parkside Recovery | Clinic/Center | 620 Germantown Pike, Lafayette Hill, PA 19444-1810 | 2006-08-15 |
| Street Address |
413 S BROADWAY |
| City | CAMDEN |
| State | NJ |
| Zip Code | 08103-1211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124297130 | Charles Barrymore Greene II | Counselor | 413 S Broadway, Camden, NJ 08103-1211 | 2008-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912516063 | Toni Marie Primas | Registered Nurse | Sheridan Pavilion, Three Cooper Plaza Suite 220, Camden, NJ 08103 | 2020-07-24 |
| 1376028548 | Services To Overcome Drug Abuse Among Teenagers, Inc. | Clinic/Center | 805-815 Federal Street, Camden, NJ 08103 | 2018-10-03 |
| 1942795802 | Kyle Richard Marden | Student in an Organized Health Care Education/Training Program | 401 Haddon Avenue, 2nd Floor Room 266, Camden, NJ 08103 | 2018-06-24 |
| 1588157473 | Julio Antonio Rodriguez Jr. | Student in an Organized Health Care Education/Training Program | Cooper University Hospital, 3 Cooper Plaza Suite 408, Camden, NJ 08103 | 2018-06-14 |
| 1386149748 | Shuchi Gupta | Nurse Practitioner | 519 West Street, Camden, NJ 08103 | 2018-03-28 |
| 1326541491 | Bolanle Idowu-akangbe | Nurse Practitioner | 519-525 West Street, Camden, NJ 08103 | 2018-03-14 |
| 1740709500 | New Beginnings Behavioral Health | Clinic/Center | 1300 Princess Avenue, Camden, NJ 08103 | 2017-09-13 |
| 1760905012 | Loraine Morris | Counselor | 1479 Kaighn Ave, Camden, NJ 08103 | 2017-07-19 |
| 1386164333 | Matthew Share | Genetic Counselor, MS | Two Cooper Plaza, 400 Haddon Avenue, Md Anderson Cancer Center, Camden, NJ 08103 | 2017-06-21 |
| 1568902070 | Cooper University Hospital | General Acute Care Hospital | 1 Cooper Plaza, Dorrance 222, Camden, NJ 08103 | 2017-03-02 |
| Find all providers in zip 08103 | ||||
| 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 |
|---|---|---|---|---|
| 1598151292 | Creative Counseling Service, LLC | Community/Behavioral Health | 104 Investors Way, Camden, NC 27921-0000 | 2015-04-09 |
| 1568764074 | Restoring and Equipping Adults and Children With Hope, Inc. | Community/Behavioral Health | 122 Gumberry Rd, Camden, NC 27921-7012 | 2010-12-03 |
| 1346542891 | Hispanic Family Center of Southern Nj Inc | Community/Behavioral Health | 2700 Westfield Ave, Camden, NJ 08105-2427 | 2010-12-03 |
| 1821224114 | Internal Family Relation, Inc | Community/Behavioral Health | 112 Nc Highway 343 S, Camden, NC 27921-9646 | 2009-06-02 |
| 1487804456 | Dayspring Behavioral Health | Community/Behavioral Health | 115 Jefferson St Sw, Camden, AR 71701-3945 | 2008-09-25 |
| 1154449916 | Center for Family Services | Community/Behavioral Health | 594 Benson St, Camden, NJ 08103-1324 | 2007-03-27 |
| 1982722948 | Helt Co | Community/Behavioral Health | 118 Southwood Dr, Camden, AR 71701-9651 | 2007-03-27 |
| 1831216464 | Center for Family Services | Community/Behavioral Health | 560 Benson St, Camden, NJ 08103-1324 | 2007-03-26 |
| 1801925029 | Kershaw County Teen Health Promotion Coalition | Community/Behavioral Health | 110 E Dekalb St, Camden, SC 29020-4432 | 2007-03-05 |
| 1043355803 | Center for Family Services, Inc. | Community/Behavioral Health | 636 Benson St, Camden, NJ 08103-1437 | 2007-02-20 |
| Find all providers in CAMDEN | ||||
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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.