MARYVILLE, INC (NPI# 1437655594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437655594 |
| Entity Type | Organization |
| Organization Name | MARYVILLE, INC |
| Practice Address |
1907 New Rd Northfield NJ 08225 |
| Mailing Address |
129 Johnson Rd Ste 8 Turnersville NJ 08012-1777 |
| Practice Telephone | 8566901000 |
| Practice Fax Number | 8566293760 |
| Mailing Telephone | 8568633913 |
| Mailing Fax Number | 8562276499 |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2018-08-01 |
| Authorized Official Name | MR. JARED LEVY (CFO) |
| Authorized Official Telephone | 8568633913 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
2000680 | NJ | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205346574 | Maryville, Inc | Clinic/Center | 1173 E Landis Ave, Vineland, NJ 08360 | 2017-10-02 |
| 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 |
| 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 |
| Street Address |
1907 NEW RD |
| City | NORTHFIELD |
| State | NJ |
| Zip Code | 08225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578532404 | Morris Antebi | Anesthesiology | 1907 New Rd, Northfield, NJ 08225 | 2006-03-14 |
| 1386278190 | Delmary Zarate | Counselor | 1907 New Rd, Northfield, NJ 08225-1545 | 2020-03-02 |
| 1548809445 | Dennise Y Castillo | Counselor | 1907 New Rd, Northfield, NJ 08225-1545 | 2019-12-26 |
| 1477196517 | Michael Kelly Oxley | Counselor | 1907 New Rd, Northfield, NJ 08225-1545 | 2019-10-22 |
| 1659931764 | Stephanie Hannan | Registered Nurse | 1907 New Rd, Northfield, NJ 08225-1545 | 2019-06-20 |
| 1619474780 | Maryville, Inc | Clinic/Center | 1907 New Rd, Northfield, NJ 08225 | 2018-04-06 |
| 1730623216 | Joann Sampolski | Clinical Nurse Specialist | 1907 New Rd, Northfield, NJ 08225-1545 | 2016-12-19 |
| 1942750039 | Pain Specialists Pa | Non-Pharmacy Dispensing Site | 1907 New Rd, Northfield, NJ 08225-1545 | 2016-10-12 |
| 1720492168 | Juanita Hyman | Nurse Practitioner | 1907 New Rd, Northfield, NJ 08225-1545 | 2014-06-13 |
| 1700106499 | Daniel O'donnell Jr. | Chiropractor | 1907 New Rd, Northfield, NJ 08225-1545 | 2010-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679187629 | Caryl Lynn Bochniak | Nurse Practitioner | 201 S Shore Rd, Northfield, NJ 08225 | 2020-09-06 |
| 1497306534 | Melanie Fumosa | Social Worker | 561-563 Tilton Rd, Northfield, NJ 08225 | 2019-09-20 |
| 1912463944 | Cheryl L Chiarello | Counselor | Legacy Treatment Services, 561 Tilton Road, Northfield, NJ 08225 | 2019-02-14 |
| 1477009322 | S & H Rehabilitation Assoc | Clinic/Center | 331 Tilton Rd Suite 7, Northfield, ATLANTIC COUNTY 08225 | 2016-08-31 |
| 1326411364 | Caringhouse Projects, Inc | Respite Care | 120 East Mill Road, Northfield, NJ 08225 | 2015-11-12 |
| 1255704672 | Caringhouse Projects, Inc | Respite Care | 103 East Mill Road, Main Building, Northfield, NJ 08225 | 2015-11-06 |
| 1245646066 | The Alcove Center for Grieving Children and Families, Inc | Social Worker | 376 Tilton Rd - Rear, Northfield, NJ 08225 | 2014-07-02 |
| 1053724799 | Patricia Hogan | Nurse Practitioner | 1921 New Rd., Northfield, NJ 08225 | 2014-06-10 |
| 1811289481 | Heidi Anne Schnorr-leavy | Counselor | 1637 New Rd Ste 2a, Northfield, NJ 08225 | 2011-05-13 |
| 1972798643 | Abraham Abtahi Abtahian | Internal Medicine | 1001 New Road, Northfield, NJ 08225 | 2007-09-06 |
| Find all providers in zip 08225 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396780946 | Omada, Inc. | Clinic/Center | 401 Division St S, Suite A, Northfield, MN 55057-2095 | 2006-06-18 |
| 1619474780 | Maryville, Inc | Clinic/Center | 1907 New Rd, Northfield, NJ 08225 | 2018-04-06 |
| 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 | ||||
| City | NORTHFIELD |
| Zip Code | 08225 |
Please comment or provide details below to improve the information on MARYVILLE, INC.
| 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.