1649711276 NPI number — ADVOSERV OF NEW JERSEY, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1649711276 NPI number — ADVOSERV OF NEW JERSEY, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ADVOSERV OF NEW JERSEY, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1649711276
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/17/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
510 HERON DR STE 114
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SWEDESBORO
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08085-1767
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
856-241-3320
Provider Business Mailing Address Fax Number:
856-241-3321

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
213 LA RUE ROAD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WEST MILFORD
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07480
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
856-241-3320
Provider Business Practice Location Address Fax Number:
856-241-3321
Provider Enumeration Date:
03/15/2017

Additional Information

Authorized Official

Authorized Official Last Name:
BLOUGH
Authorized Official First Name:
DARREN
Authorized Official Middle Name:
Authorized Official Title or Position:
STATE DIRECTOR
Authorized Official Telephone Number:
856-241-3320

Provider Taxonomy Codes

  • Taxonomy code: 320900000X , with the licence number:  GH2362 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0463591 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".




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