PINNACLE TREATMENT CENTERS NJ III LLC (NPI# 1376712786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376712786 |
| Entity Type | Organization |
| Organization Name | PINNACLE TREATMENT CENTERS NJ III LLC |
| Other Organization Name | DELAWARE VALLEY MEDICAL |
| Practice Address |
7980 S Crescent Boulevard Pennsauken NJ 08109 |
| Mailing Address |
1317 Route 73 Mount Laurel NJ 08054-2202 |
| Practice Telephone | 8566655100 |
| Practice Fax Number | 8566655243 |
| Mailing Telephone | 8564396111 |
| Enumeration Date | 2008-02-29 |
| Last Update Date | 2020-06-02 |
| Authorized Official Name | ROBYN TANIS (EXECUTIVE DIRECTOR CONTRACT MGMT) |
| Authorized Official Telephone | 8565338762 |
| Is Organization Subpart | Y |
| Parent Organization Name | PINNACLE TREATMENT CENTERS INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Delaware Valley Medical | Doing Business As Name - Organization |
| Hamilton Treatment Services | Doing Business As Name - Organization |
| Vineland Treatment Services | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1051 W Sherman Ave Bldg 4, Vineland, NJ 083606931 | 8568392210 | |
| 3444 Quakerbridge Rd Bldg 1a, Hamilton, NJ 086191204 | 6098389067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295294668 | Pinnacle Treatment Centers Nj IIi LLC | Clinic/Center | 3444 Quakerbridge Rd Bldg 1a, Hamilton, NJ 08619-1204 | 2019-03-15 |
| 1740748193 | Pinnacle Treatment Centers Nj IIi LLC | Clinic/Center | 3444 Quakerbridge Road, Quakerbridge Plaza, Building 1a, Suite 100, Hamilton, NJ 08690 | 2019-03-05 |
| 1609386135 | Pinnacle Treatment Centers Nj IIi LLC | Clinic/Center | 1051 W Sherman Ave Bldg 4, Vineland, NJ 08360-6931 | 2017-10-11 |
| 1851902787 | Pinnacle Treatment Centers Nj IIi LLC | Clinic/Center | 250 S Broadway, Pennsville, NJ 08070-2700 | 2020-08-13 |
| 1336608512 | Pinnacle Treatment Centers Nj IIi LLC | Clinic/Center | 1051 W Sherman Ave Bldg 4, Vineland, NJ 08360-6931 | 2019-03-18 |
| Street Address |
7980 S CRESCENT BOULEVARD |
| City | PENNSAUKEN |
| State | NJ |
| Zip Code | 08109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730615543 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8301 Maple Ave, Pennsauken, NJ 08109 | 2017-05-11 |
| 1588085237 | Annie Nicole Fisher | Social Worker | 21 Merwit Court, Merchantville, NJ 08109 | 2013-12-26 |
| 1992013437 | Reliable Resources LLC | In Home Supportive Care | 211 West End Ave, Merchantville, NJ 08109 | 2010-09-17 |
| 1184942351 | Matt Lobel | Pharmacist | 14 South Cenre Street, Merchantville, NJ 08109 | 2010-05-12 |
| 1063662187 | Life At Lourdes Inc | PACE Provider Organization | 2475 Mcclellan Avenue, Pennsauken, NJ 08109 | 2008-09-25 |
| 1043488851 | Karen Claytor | Physical Therapist | 2626 Mandall Ave, Pennsauken, NJ 08109 | 2008-02-14 |
| 1235334814 | Marian W Mote | Nurse Practitioner | Merchantville Pediatrics- A Division of Cha, 1 S. Centre Street, Suite 100, Merchantville, NJ 08109 | 2007-06-15 |
| 1386865905 | Enrico Doganiero | Pharmacist | 6338 Browning Rd, Pennsauken, NJ 08109 | 2007-05-01 |
| 1710008164 | Michele Jo Hain | Physical Therapist | 6981 N Park Drive, Suite 102, Pennsaukin, NJ 08109 | 2007-04-03 |
| 1902921562 | Occupational Health Centers of New Jersey, P.a. | Clinic/Center | 7204 North Park Drive, Pennsauken, NJ 08109 | 2007-03-20 |
| Find all providers in zip 08109 | ||||
| Taxonomy Code | 261QM2800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Methadone Clinic |
| An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174646095 | Delaware Valley Medical, Inc. | Clinic/Center | 7980 S Crescent Blvd, Pennsauken, NJ 08109-4106 | 2007-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043847304 | Monmouth Healthcare Services, LLC | Clinic/Center | 495 Jack Martin Blvd Ste 6, Brick, NJ 08724-7778 | 2020-03-26 |
| 1295370849 | Resource Center for The Chemically Dependent, Inc. | Clinic/Center | 124 Hampton House Rd, Newton, NJ 07860-2804 | 2019-11-07 |
| 1427602960 | Bravo Medical, LLC | Clinic/Center | 10 Somerdale Square 1200 South White Horse Pike, Somerdale, NJ 08083-1345 | 2019-08-01 |
| 1295294668 | Pinnacle Treatment Centers Nj IIi LLC | Clinic/Center | 3444 Quakerbridge Rd Bldg 1a, Hamilton, NJ 08619-1204 | 2019-03-15 |
| 1740748193 | Pinnacle Treatment Centers Nj IIi LLC | Clinic/Center | 3444 Quakerbridge Road, Quakerbridge Plaza, Building 1a, Suite 100, Hamilton, NJ 08690 | 2019-03-05 |
| 1386101483 | Trenton Healthcare, LLC | Clinic/Center | 670 Route 1 N, Iselin, NJ 08830-2629 | 2019-02-25 |
| 1609386135 | Pinnacle Treatment Centers Nj IIi LLC | Clinic/Center | 1051 W Sherman Ave Bldg 4, Vineland, NJ 08360-6931 | 2017-10-11 |
| 1972855575 | Spectrum Health Care, Inc. | Clinic/Center | 74 Pacific Ave, Jersey City, NJ 07304-3216 | 2012-10-05 |
| 1962712398 | Middletown Medical, LLC | Clinic/Center | 600 Hwy 35, Red Bank, NJ 07701-5018 | 2010-10-19 |
| 1578725867 | Addiction Recovery Systems Somers Point LLC | Clinic/Center | 408 Bethel Rd Bldg B, Somers Point, NJ 08244-2172 | 2008-06-27 |
| Find all providers with the same taxonomy | ||||
| City | PENNSAUKEN |
| Zip Code | 08109 |
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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.