NICHOLAS STAFFORD CPRS NPI 1700594488

NPI Information

  • NPI: 1700594488
  • Provider Name: NICHOLAS STAFFORD, CPRS
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Individual
  • Address: 610 PEMBERTON BROWNS MILLS RD
    PEMBERTON, NJ
    ZIP 08068
  • Phone: (609) 321-6269

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NPI Details

Nicholas Stafford, CPRS is a substance abuse rehabilitation facility in Pemberton, NJ. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. Nicholas Stafford, CPRS NPI is 1700594488. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

610 PEMBERTON BROWNS MILLS RD
PEMBERTON, NJ
ZIP 08068-537
Phone: (609) 321-6269
Fax: (609) 283-0262

The enumeration date for this NPI number is 11/10/2022 and was last updated on 11/10/2022.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1324500000XSubstance Abuse Rehabilitation Facility1000140NEW 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11000140OTHERNEW JERSEYSUBSTANCE ABUSE REHABILITATION FACILITY

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: 11/21/2025

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