1538599329 NPI number — NEWPOINT BEHAVIORAL HEALTH CARE

Table of content: (NPI 1538599329)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1538599329 NPI number — NEWPOINT BEHAVIORAL HEALTH CARE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NEWPOINT BEHAVIORAL HEALTH CARE
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:
1538599329
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/15/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
404 TATUM ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WOODBURY
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08096-3499
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
856-845-8050
Provider Business Mailing Address Fax Number:
856-845-6132

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1070 MAIN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SEWELL
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08080-4554
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
856-845-8050
Provider Business Practice Location Address Fax Number:
856-845-6132
Provider Enumeration Date:
11/15/2013

Additional Information

Authorized Official

Authorized Official Last Name:
SANTORO
Authorized Official First Name:
VINCENT
Authorized Official Middle Name:
J
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
856-845-8050

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X , with the licence number:  900011303 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251S00000X , with the licence number: 90001-13-05 , 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: 0008940 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".




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