MARYVILLE, INC


Address: 1173 E Landis Ave, Vineland, NJ 08360
Phone: 8566901000

MARYVILLE, INC (NPI# 1205346574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205346574
Entity Type Organization
Organization Name MARYVILLE, INC
Practice Address 1173 E Landis Ave
Vineland
NJ 08360
Mailing Address 129 Johnson Rd Ste 7
Turnersville
NJ 08012-1777
Practice Telephone 8566901000
Practice Fax Number 8566901764
Mailing Telephone 8568633913
Mailing Fax Number 8568633917
Enumeration Date 2017-10-02
Last Update Date 2018-08-01
Authorized Official Name JARED LEVY (CFO)
Authorized Official Telephone 8568633913
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0405X Clinic/Center
Specialization: Rehabilitation, Substance Use Disorder
2000300 NJ Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NJ 0014818 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1225262629 Maryville, Inc Clinic/Center 129 Johnson Rd Ste 7, Turnersville, NJ 08012 2009-05-13
1619474780 Maryville, Inc Clinic/Center 1907 New Rd, Northfield, NJ 08225 2018-04-06
1437655594 Maryville, Inc Clinic/Center 1907 New Rd, Northfield, NJ 08225 2018-04-05
1457851107 Maryville, Inc Substance Abuse Rehabilitation Facility 610 Pemberton Browns Mills Rd, Pemberton, NJ 08068-1537 2018-02-20
1306346325 Maryville, Inc Substance Abuse Rehabilitation Facility 610 Pemberton Browns Mills Rd, Pemberton, NJ 08068 2018-02-16
1073023354 Maryville, Inc Substance Abuse Rehabilitation Facility 1903 Grant Ave, Williamstown, NJ 08094 2017-10-02
1922518299 Maryville, Inc Clinic/Center 129 Johnson Rd Ste 7, Turnersville, NJ 08012-1777 2017-10-02
1780806083 Maryville, Inc Clinic/Center 707 N Main St, Glassboro, NJ 08028-1605 2007-05-03

Office Location

Street Address 1173 E LANDIS AVE
City VINELAND
State NJ
Zip Code 08360

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215534748 Lindsay Gibbons Social Worker 60 W Ave, Vineland, NJ 08360 2020-10-07
1033769849 Buena Vista Township Emergency Medical Services Inc. Ambulance 4931 E. Landis Ave., Vineland, NJ 08360 2019-09-13
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
1972001519 Kyle James Knowles Physician Assistant 1138 East Chestnut Avenue, Building 8 Suite B, Vineland, NJ 08360 2018-01-29
1184147043 Sarah Lee Pharmacist 75 W Landis Ave, Vineland, NJ 08360 2017-07-24
1780111419 Elwyn New Jersey Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 30 D'shibe Terrace, Vineland, NJ 08360 2017-05-12
1528414810 Khushbu V Janani Internal Medicine 1505 W Sherman Avenue, Inspira Health Network, Vineland, NJ 08360 2016-05-05
1669841409 University Womens Imaging LLC Clinic/Center 1051 West Sherman Avenue, Suite 4a, Vineland, NJ 08360 2015-09-23
1710369350 Elwyn New Jersey Day Training, Developmentally Disabled Services 46 N West Ave, Building A, Vineland, NJ 08360 2015-06-19
1407244262 Paul Minsky Home Health 537 East Landis Ave, 2nd Floor, Vineland, NJ 08360 2015-01-02
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Taxonomy Information

Taxonomy Code 261QR0405X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation, Substance Use Disorder

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457573842 Maryville, Inc. Clinic/Center 1173 East Landis Ave, Vineland, NJ 08360 2007-05-03

Providers in the same taxonomy and state

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
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Competitor

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City VINELAND
Zip Code 08360

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Dataset Information

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.

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