MATHENY SCHOOL AND HOSPITAL (NPI# 1366490336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366490336 |
| Entity Type | Organization |
| Organization Name | MATHENY SCHOOL AND HOSPITAL |
| Other Organization Name | MATHENY MEDICAL AND EDUCATION CENTER |
| Practice Address |
1467 Highland Avenue Peapack NJ 07977 |
| Mailing Address |
Po Box 339 Peapack NJ 07977 |
| Practice Telephone | 9082340011 |
| Practice Fax Number | 9082349496 |
| Mailing Telephone | 9082340011 |
| Mailing Fax Number | 9082349496 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. STEVEN PROCTOR (PRESIDENT) |
| Authorized Official Telephone | 9082340011 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310500000X | Intermediate Care Facility, Mental Illness | 21801 | NJ | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 4503503 | 05 |
| Other Name | Type Code |
|---|---|
| Matheny Medical and Education Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861999393 | Matheny School and Hospital | Day Training/Habilitation Specialist | 216 Valley Park Rd, Suites 3&4, Hillsborough, NJ 08844 | 2018-04-11 |
| 1689637936 | Matheny School and Hospital | Clinic/Center | 1467 Highland Avenue, Peapack, NJ 07977 | 2006-04-08 |
| 1588627012 | Matheny School and Hospital | Clinic/Center | 216 Valley Park, Ste 3, Hillsborough, NJ 08844 | 2006-04-07 |
| 1871556399 | Matheny School and Hospital | Durable Medical Equipment & Medical Supplies | 1467 Highland Ave, Peapack, NJ 07977 | 2006-04-07 |
| 1184194359 | Matheny School and Hospital | Speech-Language Pathologist | 65 Highland Avenue, Peapack, NJ 07977-0339 | 2018-11-30 |
| 1710457981 | Matheny School and Hospital | Occupational Therapist | 65 Highland Avenue, Peapack, NJ 07977-0339 | 2018-11-30 |
| 1356811525 | Matheny School and Hospital | Physical Therapist | 65 Highland Avenue, Peapack, NJ 07977-0339 | 2018-11-30 |
| 1487146528 | Matheny School and Hospital | Community/Behavioral Health | 65 Highland Avenue, Peapack, NJ 07977-0339 | 2018-06-05 |
| 1720585987 | Matheny School and Hospital | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 65 Highland Ave, Peapack, NJ 07977-0339 | 2018-04-12 |
| 1104292648 | Matheny School and Hospital | Case Management | 65 Highland Avenue, Peapack, NJ 07977-0339 | 2015-08-19 |
| Street Address |
1467 HIGHLAND AVENUE |
| City | PEAPACK |
| State | NJ |
| Zip Code | 07977 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689637936 | Matheny School and Hospital | Clinic/Center | 1467 Highland Avenue, Peapack, NJ 07977 | 2006-04-08 |
| 1730142084 | Matheny School and Hospital | Dentist | 1467 Highland Avenue, Peapack, NJ 07977 | 2006-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689755688 | Vivian M Santana | Personal Emergency Response Attendant | 100 Route 206 North, Peapack, NJ 07977 | 2006-10-17 |
| 1215044771 | Thomas J Bozack | Chiropractor | 151 Main Street, Peapack, NJ 07977 | 2006-08-23 |
| 1356382501 | Christine P Mand | Internal Medicine | Matheny Medical and Educational Center, Highland Avenue, Peapack, NJ 07977 | 2006-06-09 |
| 1255396974 | Susan Marie Harabedian | Physician Assistant | 100 Route 206 North Pfizer,inc., Peapack, NJ 07977 | 2006-04-18 |
| 1770546020 | Matheny School and Hospital,inc. | Special Hospital | 65 Highland Ave, Peapack, NJ 07977 | 2006-04-08 |
| 1871556399 | Matheny School and Hospital | Durable Medical Equipment & Medical Supplies | 1467 Highland Ave, Peapack, NJ 07977 | 2006-04-07 |
| 1912383977 | Matheny | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 65 Highland Avenue, Peapack, NJ 07977 | 2015-07-31 |
| 1417233750 | Christine Marie O'hea | Dentist | 181 Main Street, Peapack, NJ 07977 | 2011-11-01 |
| 1992914147 | Alba Nydia Mendez Morales | Pediatrics | 65 Highland Avenue, Peapack, NJ 07977 | 2007-05-22 |
| 1669788766 | Aileen Elizabeth Birkitt | Dietitian, Registered | 9 Prospect St., Peapack, NJ 07977-0023 | 2010-08-26 |
| Find all providers in zip 07977 | ||||
| Taxonomy Code | 310500000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mental Illness |
| A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528475514 | Francis Guenther | Intermediate Care Facility, Mental Illness | 425 Mechlin Corner Rd, Pittstown, NJ 08867-5015 | 2014-07-22 |
| 1104870161 | Inspira Medical Centers, Inc. | Intermediate Care Facility, Mental Illness | 333 Irving Avenue, Bridgeton, NJ 08302-2100 | 2006-05-22 |
| 1922194331 | Christian Health Care Center | Intermediate Care Facility, Mental Illness | 301 Sicomac Ave, Wyckoff, NJ 07481-2159 | 2006-10-04 |
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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.