ADVOSERV OF NEW JERSEY, INC. (NPI# 1972089753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972089753 |
| Entity Type | Organization |
| Organization Name | ADVOSERV OF NEW JERSEY, INC. |
| Practice Address |
1144 River Rd Ewing NJ 08628-2106 |
| Mailing Address |
510 Heron Dr Ste 114 Swedesboro NJ 08085-1767 |
| Practice Telephone | 8562413320 |
| Practice Fax Number | 8562413321 |
| Mailing Telephone | 8562413320 |
| Mailing Fax Number | 8562413321 |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2018-07-16 |
| 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 |
| 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 |
| 1679062392 | Advoserv of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 21 Castle Dr, Pennsville, NJ 08070-2419 | 2018-05-08 |
| 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 |
1144 RIVER RD |
| City | EWING |
| State | NJ |
| Zip Code | 08628-2106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891300612 | Heather C. Williamson | Physician Assistant | 57 Willis Dr, West Trenton, NJ 08628 | 2020-09-09 |
| 1982258448 | Elizabeth Ann Mottola | Counselor | 1239 Parkway Avenue, Ewing, NJ 08628 | 2019-08-01 |
| 1528560570 | Robert Lewis Hutchinson | Registered Nurse | 1609 Stuyvesant Avenue, West Trenton, NJ 08628 | 2018-03-06 |
| 1568976512 | Eucharia Onyemachi Ihem | Nurse Practitioner | 101 Sullivan Way, Trenton Psychiatric Hospital, West Trenton, NJ 08628 | 2017-11-29 |
| 1194258806 | Megan Florio | Social Worker | 100 Charles Ewing Blvd Ste 160, Ewing, NJ 08628 | 2017-04-10 |
| 1679958961 | Eden Autism Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 85 Willis Dr, Ewing, NJ 08628 | 2015-07-28 |
| 1659756948 | Eden Autism Services. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 18 Perry Drive, Ewing, NJ 08628 | 2015-07-28 |
| 1730571522 | Nancy Scott | Counselor | 850 Bear Tavern Road, Suite #305, West Trenton, NJ 08628 | 2015-03-03 |
| 1356774889 | Abrams Residence Assisted Living Facility | Assisted Living Facility | 50 Walter Street, Ewing, NJ 08628 | 2013-08-20 |
| 1710319686 | Jamie Lee Mucciarelli | Social Worker | 12 Wilburtha Rd, Ewing, NJ 08628 | 2013-08-02 |
| Find all providers in zip 08628 | ||||
| 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 |
|---|---|---|---|---|
| 1184232175 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 65 Brophy Ct, Ewing, NJ 08638-1224 | 2020-07-16 |
| 1255800520 | Dungarvin New Jersey, LLC - Whitehead II, Apt 209 | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1015 Whitehead Road Ext Apt 209, Ewing, NJ 08638-2432 | 2018-11-16 |
| 1982173258 | Dungarvin New Jersey, LLC - Whitehead II, Apt 217 | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1015 Whitehead Road Ext Apt 217, Ewing, NJ 08638-2432 | 2018-11-16 |
| 1568931939 | Dungarvin New Jersey, LLC - Whitehead II, Apt 109 | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1015 Whitehead Road Ext Apt 109, Ewing, NJ 08638-2434 | 2018-11-15 |
| 1114493244 | Dungarvin New Jersey, LLC - Whitehead II | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1015 Whitehead Road Extension, Apt 209 & 217, Ewing, NJ 08638 | 2018-10-16 |
| 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 |
| 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 |
| 1619408044 | Princeton Child Development Institute | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 55 Perry Dr, Ewing, NJ 08628-1710 | 2017-03-27 |
| 1710356803 | Community Options, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 35 Windybush Way, Ewing, NJ 08560-1206 | 2015-09-18 |
| 1528437969 | Community Options, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1082 River Rd, Ewing, NJ 08628-2102 | 2015-09-16 |
| Find all providers in EWING | ||||
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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.