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NEW STREET TREATMENT ASSOCIATES NPI 1558409912


NPI Information

NPI: 1558409912
Provider Name: NEW STREET TREATMENT ASSOCIATES
Classification: Clinic/Center - 261QM2800X
Entity Type: Organization

Specialization: Methadone

Address:
57 NEW ST
IRVINGTON, NJ
ZIP 07111
Phone: (973) 373-2010
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NEW STREET TREATMENT ASSOCIATES is a methadone clinic center in Irvington, NJ. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. NEW STREET TREATMENT ASSOCIATES NPI is 1558409912. The provider is registered as an organization entity type.

The provider's business location address is:

57 NEW ST
IRVINGTON, NJ
ZIP 07111-444
Phone: (973) 373-2010
Fax: (973) 373-1245

The provider's authorized official is Janet Ramos .
The authorized official title is Executive Director and has the following contact phone number (973) 373-2010.

The enumeration date for this NPI number is 2/1/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM2800XClinic/CenterMethadone2000004NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10057177MEDICAIDNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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