MR. RONALD ALAN MARTIN PROGRAM SPONSOR NPI 1710551460

NPI Information

NPI: 1710551460
Provider Name: MR. RONALD ALAN MARTIN, PROGRAM SPONSOR
Classification: Clinic/Center - 261QM2800X
Entity Type: Individual

Specialization: Methadone

Address:
1305 KINGS HWY N
CHERRY HILL, NJ
ZIP 08034
Phone: (856) 651-7826
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MR. Ronald Alan Martin, PROGRAM SPONSOR is a methadone clinic center in Cherry Hill, 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. MR. Ronald Alan Martin, PROGRAM SPONSOR NPI is 1710551460. 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:

1305 KINGS HWY N
CHERRY HILL, NJ
ZIP 08034-919
Phone: (856) 651-7826
Fax: (856) 229-7142

The enumeration date for this NPI number is 5/18/2021 and was last updated on 5/18/2021.

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
1	261QM2800X	Clinic/Center	Methadone	2000872	NEW JERSEY	Yes

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
1	2000872	MEDICAID	NEW 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: 4/28/2024

NPI Synchronization or Removal

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