ADVOSERV OF NEW JERSEY, INC. (NPI# 1679062392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679062392 |
| Entity Type | Organization |
| Organization Name | ADVOSERV OF NEW JERSEY, INC. |
| Practice Address |
21 Castle Dr Pennsville NJ 08070-2419 |
| Mailing Address |
510 Heron Dr Ste 114 Swedesboro NJ 08085-1767 |
| Practice Telephone | 8562413320 |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2018-05-08 |
| Authorized Official Name | MICHAEL WILDER (SENIOR VP OF OPERATIONS) |
| Authorized Official Telephone | 8562413320 |
| Authorized Official Credential | MHSA |
| Is Organization Subpart | Y |
| Parent Organization Name | ADVOSERV OF NEW JERSEY, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0463591 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225593098 | Advoserv of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 340 S Branch Rd Ste 440, Hillsborough, NJ 08844-3433 | 2019-02-06 |
| 1073099669 | Advoserv of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 56 Brophy Dr, Ewing, NJ 08638-1241 | 2018-07-17 |
| 1972089753 | Advoserv of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1144 River Rd, Ewing, NJ 08628-2106 | 2018-07-16 |
| 1578055216 | Advoserv of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2 S Hook Rd, Pennsville, NJ 08070-2359 | 2018-05-30 |
| 1497244099 | Advoserv of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 112 Branch Rd, Bridgewater, NJ 08807-2115 | 2018-05-09 |
| 1750870358 | Advoserv of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1155 Glenwood Ct, Vineland, NJ 08361-8510 | 2018-05-09 |
| 1932698537 | Advoserv of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 350 Tomlin Station Rd, Gibbstown, NJ 08027-1261 | 2018-05-09 |
| 1649769373 | Advoserv of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1036 Mcclain Dr, Vineland, NJ 08361-6138 | 2018-05-08 |
| 1205325933 | Advoserv of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 131 E Weymouth Rd, Buena, NJ 08310-1208 | 2018-05-08 |
| 1649769365 | Advoserv of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 76 Federal City Rd, Ewing, NJ 08638-1323 | 2018-05-08 |
| Street Address |
21 CASTLE DR |
| City | PENNSVILLE |
| State | NJ |
| Zip Code | 08070-2419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457843500 | Community Dental of Salem, P.C. | Dentist | 709 South Broadway, Pennsville, NJ 08070 | 2018-06-05 |
| 1962851378 | Optimal Health Solutions | Durable Medical Equipment & Medical Supplies | 390 N Broadway Ste 1400, Pennsville, NJ 08070 | 2016-06-07 |
| 1114120805 | Charles Arthur Evans | Dentist | 7 Benson Avenue, Pennsville, NJ 08070 | 2007-06-08 |
| 1346460516 | Guy Carrere Woodruff | Psychologist | 6 Humphreys Ave, Pennsville, NJ 08070 | 2007-04-27 |
| 1780700393 | Assisted Living Concepts Inc | Assisted Living Facility | 39 Supawna Road, Pennsville, NJ 08070 | 2007-03-22 |
| 1972655017 | Jerry J Popeck | Dentist | 133 North Broadway, Suite B, Pennsville, NJ 08070 | 2007-01-17 |
| 1548337330 | Ivan Mark Nadler | Chiropractor | 133c North Broadway, Pennsville, NJ 08070 | 2006-11-29 |
| 1841208873 | Joseph T Gallagher | Physical Therapist | 390n Broadway, Ste 400 Heartland Rehabilitation Service of Nj Inc, Pennsville, NJ 08070 | 2006-08-04 |
| 1801803051 | Cooper Primary Care At Pennsville, Pa | Internal Medicine | 390 North Broad Street, Concord Professional Building, Ste 100, Pennsville, NJ 08070 | 2006-08-01 |
| 1508883695 | Marcellus A Maiatico | Physical Medicine & Rehabilitation | 270 South Broadway, Pennsville, NJ 08070 | 2006-07-16 |
| Find all providers in zip 08070 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578055216 | Advoserv of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2 S Hook Rd, Pennsville, NJ 08070-2359 | 2018-05-30 |
| 1144729229 | Advancing Opportunities, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 21 Kent Ave, Pennsville, NJ 08070-1112 | 2018-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871559 | Heart To Heart Health Care Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 414 Mamie Ct, Brick, NJ 08723-6438 | 2020-11-06 |
| 1316548167 | The Arc of Cape May County, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 111 E Woodland Ave, Cape May Court House, NJ 08210-3815 | 2020-11-06 |
| 1730789447 | Community Options, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 209 Loganberry Ln, Freehold, NJ 07728-4045 | 2020-10-30 |
| 1881294858 | Youth Consultation Service Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 107 Echohill Ln, Willingboro, NJ 08046-2205 | 2020-10-29 |
| 1093314759 | Fordham-lewis Consulting, L.L.C. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 94 Ramapo Valley Rd, Mahwah, NJ 07430-1161 | 2020-10-22 |
| 1487252177 | Heart To Heart Health Care Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1476 W Terrace Cir Apt 2, Teaneck, NJ 07666-5230 | 2020-10-14 |
| 1215535422 | Community Options, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 231 Griggstown Rd, Belle Mead, NJ 08502-5204 | 2020-10-12 |
| 1003413311 | Excelsior Services Group LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 415 Main Ave, Wood Ridge, NJ 07075-2055 | 2020-10-08 |
| 1659988178 | Community Options, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19 Heather Ln, Belle Mead, NJ 08502-5125 | 2020-09-29 |
| 1598372021 | Community Options, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 838 Long Road, Gillete, NJ 07933-0854 | 2020-09-29 |
| Find all providers with the same taxonomy | ||||
| City | PENNSVILLE |
| Zip Code | 08070 |
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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.