SOUTH AMBOY HEALTH CENTER LLC (NPI# 1801414024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801414024 |
| Entity Type | Organization |
| Organization Name | SOUTH AMBOY HEALTH CENTER LLC |
| Practice Address |
1 Main St South Amboy NJ 08879-1142 |
| Practice Telephone | 9082588765 |
| Mailing Telephone | 9082588765 |
| Enumeration Date | 2020-07-14 |
| Last Update Date | 2020-07-14 |
| Authorized Official Name | JOHN MACEVOY (OWNER) |
| Authorized Official Telephone | 9738098279 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
Ambulatory Health Care Facilities |
| Street Address |
1 MAIN ST |
| City | SOUTH AMBOY |
| State | NJ |
| Zip Code | 08879-1142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659818029 | Francesco Rizzo | Counselor | 1 Main St, South Amboy, NJ 08879-1142 | 2017-01-24 |
| 1922542414 | Val Vukovic | Counselor | 1 Main St, South Amboy, NJ 08879 | 2016-12-19 |
| 1194269209 | Crystal Marie Clark | Counselor | 1 Main St, South Amboy, NJ 08879-1142 | 2016-12-08 |
| 1518413624 | Sherona Mullings | Counselor | 1 Main St, South Amboy, NJ 08879-1142 | 2016-08-29 |
| 1205381597 | Chiara Barone | Counselor | 1 Main St, South Amboy, NJ 08879-1142 | 2016-08-17 |
| 1922451525 | Elizabeth Guadalupe Lopez | Counselor | 1 Main St, South Amboy, NJ 08879-1142 | 2016-07-19 |
| 1942656491 | Janet Ramos | Counselor | 1 Main St, South Amboy, NJ 08879-1142 | 2016-05-13 |
| 1831544550 | Stephanie Ramirez | Counselor | 1 Main St, South Amboy, NJ 08879-1142 | 2016-05-02 |
| 1902208713 | Christine Sharpe | Counselor | 1 Main St, South Amboy, NJ 08879-1142 | 2014-09-24 |
| 1437564317 | Alexia Nwaziri | Counselor | 1 Main St, South Amboy, NJ 08879-1142 | 2014-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295206225 | Vrajesh C Desai | Pharmacist | 1 Laurence Parkway, Laurence Harbor, NJ 08879 | 2018-12-17 |
| 1033661236 | Cmp Group,pc | Chiropractor | 540 Bordentown Road Suite 4900 4thfl, South Amboy, NJ 08879 | 2016-11-04 |
| 1992153035 | Joanne Cise | Counselor | One Lower Main Street, South Amboy, NJ 08879 | 2016-05-31 |
| 1134537673 | Jeffrey Gee | Dentist | 331 South Pine Ave, Morgan, NJ 08879 | 2014-07-29 |
| 1952736985 | Venetian Care and Rehabilitation Center | Skilled Nursing Facility | 275 John O'leary Boulevard, South Amboy, NJ 08879 | 2013-09-10 |
| 1194046490 | Rifaqat Baig | Family Medicine | 963 Route 9 North, South Amboy, NJ 08879 | 2010-06-21 |
| 1033446703 | Roque Manuel Crespo Jr. | Counselor | 1 Lower Main St, South Amboy, NJ 08879 | 2009-11-17 |
| 1124278718 | Andrew Jon Mcnulty | Psychologist | 59 Raritan Reach Rd, South Amboy, NJ 08879 | 2008-09-19 |
| 1801078779 | Primary and Preventative Internal Medicine of Central New Jersey, LLC | Internal Medicine | 2045 Us Highway 35 South, South Amboy, NJ 08879 | 2007-12-03 |
| 1891904124 | South Amboy Board of Education | Local Education Agency (LEA) | 240 John Street, South Amboy, NJ 08879 | 2007-05-22 |
| Find all providers in zip 08879 | ||||
| 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 |
|---|---|---|---|---|
| 1013052158 | Strathmore Treatment Associates, LLC | Clinic/Center | 1 Lower Main Street, South Amboy, NJ 08879 | 2007-02-20 |
| 1639689292 | Habit Opco, LLC | Clinic/Center | 1 Main St Lowr, South Amboy, NJ 08879-1142 | 2017-10-09 |
| 1881809259 | Strathmore Treatment Associates | Clinic/Center | 1 Lower Main Street, South Amboy, NJ 08879 | 2007-05-11 |
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| 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 | SOUTH AMBOY |
| Zip Code | 08879 |
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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.