PREFERRED BEHAVIORAL HEALTH OF NEW JERSEY, INC (NPI# 1134623416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134623416 |
| Entity Type | Organization |
| Organization Name | PREFERRED BEHAVIORAL HEALTH OF NEW JERSEY, INC |
| Practice Address |
1405 Highway 35 Ocean NJ 07712-3532 |
| Mailing Address |
Po Box 2036 Lakewood NJ 08701-8036 |
| Practice Telephone | 7326631800 |
| Practice Fax Number | 7326631698 |
| Mailing Telephone | 7324581700 |
| Mailing Fax Number | 7327853296 |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2019-03-06 |
| Authorized Official Name | JULIE VANORE (CAO) |
| Authorized Official Telephone | 7324581700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
2000648 | NJ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | STATE LICENSE | 2000648 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295237212 | Preferred Behavioral Health of New Jersey, Inc | Clinic/Center | 1200 River Ave Ste 9d, Lakewood, NJ 08701-5657 | 2018-03-06 |
| 1487204145 | Preferred Behavioral Health of New Jersey, Inc | Clinic/Center | 725 Airport Rd Ste 2b, Lakewood, NJ 08701-5968 | 2019-09-16 |
| 1780188060 | Preferred Behavioral Health of New Jersey, Inc | Community/Behavioral Health | 1191 Lakewood Rd, Toms River, NJ 08753-4172 | 2018-03-21 |
| 1154835692 | Preferred Behavioral Health of New Jersey, Inc | Clinic/Center | 1191 Lakewood Rd, Toms River, NJ 08753-4172 | 2017-11-20 |
| 1467519728 | Preferred Behavioral Health of New Jersey, Inc | Community/Behavioral Health | 700 Airport Road, Preferred Behavioral Health Dare Program, Lakewood, NJ 08701 | 2007-01-03 |
| Street Address |
1405 HIGHWAY 35 |
| City | OCEAN |
| State | NJ |
| Zip Code | 07712-3532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871575084 | Olukemi Yetunde Omotoso | Pediatrics | 1405 Highway 35, Ocean, NJ 07712-3532 | 2005-11-15 |
| 1023444924 | Vicki Raab Md LLC | Psychiatry & Neurology | 1405 Highway 35, Ocean, NJ 07712-3532 | 2013-09-24 |
| 1124282330 | Ethel and Raphael Pediatrics | Pediatrics | 1405 Highway 35, Suite 104, Ocean, NJ 07712-3532 | 2008-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588275762 | Derek Du | Physical Therapist | 52 Dune Rd, Ocean Township, NJ 07712 | 2020-08-12 |
| 1295395630 | Lauren Rosenthal | Behavior Technician | 3 Michael Dr, Tinton Falls, NJ 07712 | 2019-06-18 |
| 1649743287 | Zachary Fendrick | Physical Therapist | 1540 West Park Ave Unit #4, Tinton Falls, NJ 07712 | 2019-01-07 |
| 1922597988 | Rosemary E Smentkowski | Nurse Practitioner | 1518 4th Ave, Asbury Park, NJ 07712 | 2018-05-05 |
| 1285131748 | Life Long Health Incorporated | Durable Medical Equipment & Medical Supplies | 606 Bangs Ave 3rd Floor, Unit 327, Asbury Park, NJ 07712 | 2018-04-11 |
| 1174035745 | The Arc of Monmouth, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1200 Wayside Road Apt #213, Wayside Oaks, Tinton Falls, NJ 07712 | 2017-11-03 |
| 1033629159 | The Arc of Monmouth, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1200 Wayside Road Apt 103, Wayside Oaks, Tinton Falls, NJ 07712 | 2017-10-03 |
| 1477063592 | The Arc of Monmouth, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1200 Wayside Road Apt 105, Wayside Oaks, Tinton Falls, NJ 07712 | 2017-10-03 |
| 1750891966 | The Arc of Monmouth, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1200 Wayside Road Apt 107, Wayside Oaks, Tinton Falls, NJ 07712 | 2017-10-03 |
| 1316457526 | The Arc of Monmouth, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1200 Wayside Road Apt 110, Wayside Oaks, Tinton Falls, NJ 07712 | 2017-10-03 |
| Find all providers in zip 07712 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487253779 | Integrity, Inc | Clinic/Center | 1091-1093 Broad Street, Newark, NJ 07102 | 2020-10-19 |
| 1437764354 | Phoenix Behavioral Health LLC | Clinic/Center | 102 Browning Ln Ste 2, Cherry Hill, NJ 08003-3195 | 2020-09-09 |
| 1710504881 | Vimax LLC | Clinic/Center | 6 Cornwall Ct, East Brunswick, NJ 08816-3347 | 2020-07-06 |
| 1588289615 | Camden County Suboxone LLC | Clinic/Center | 8 Somerdale Sq, Somerdale, NJ 08083-1345 | 2020-06-15 |
| 1558905380 | Grace Community Development Center | Clinic/Center | 100 Melville Ln, Willingboro, NJ 08046-2912 | 2019-11-05 |
| 1740822121 | The Empowerment House, Non Profit Inc. | Clinic/Center | 1314 S Clinton Ave, Trenton, NJ 08611-1436 | 2019-10-17 |
| 1265088892 | Absolute Awakenings Treatment Center LLC | Clinic/Center | 3000 Route 10 West, Denville, NJ 07834 | 2019-08-09 |
| 1326607243 | Recovery Zone Solutions, LLC | Clinic/Center | 124 East Main Street, Ste#109, Denville, NJ 07834 | 2019-06-13 |
| 1720644800 | Ars Treatment Centers of New Jersey, PC | Clinic/Center | 4 Murray Grove Ln, Lanoka Harbor, NJ 08734-2837 | 2019-05-14 |
| 1184182230 | Turning Point, Inc. | Clinic/Center | 101 Prospect St Ste 210, Lakewood, NJ 08701-5003 | 2019-03-07 |
| Find all providers with the same taxonomy | ||||
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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.