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MILESTONE ADDICTION TREATMENT LLC
NPI 1023577731
Substance Abuse Rehabilitation Facility in Merchantville, NJ

Active since March 13, 2019CLIA 31D2182193 · Waiver
1 S CENTRE ST, MERCHANTVILLE, NJ 08109(856) 816-0728 Get Directions Write a Review

NPPES record last updated: March 13, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Milestone Addiction Treatment Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MILESTONE ADDICTION TREATMENT LLC (NPI 1023577731) is a healthcare organization registered as a substance abuse rehabilitation facility in Merchantville, New Jersey and active in the NPI registry since March 2019. The organization holds a CLIA Waiver certificate valid through April 16, 2028 and lists Jason Gooberman, Ceo, as its authorized official.

NPPES Registry Identity

NPI1023577731
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameMILESTONE ADDICTION TREATMENT LLC
Location Address1 S CENTRE STMerchantville, NJ 08109-2213
Mailing Address1 S Centre StMerchantville, NJ 08109-2213
Phone(856) 816-0728
Organization SubpartNo
Authorized OfficialJason GoobermanCeo · (856) 449-6159
Enumeration DateMarch 13, 2019
✔ NPI 1023577731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
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.
1 S CENTRE ST, Merchantville, NJ 08109
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2182193

Milestone Addiction Treatment · Merchantville, NJ
Active · expires Apr 16, 2028
CLIA Number31D2182193
Laboratory TypeAddiction Treatment
Certificate Effective DateApril 17, 2026
Certificate Expiration DateApril 16, 2028
Laboratory DirectorDavid Gigliotti
Laboratory Phone(856) 313-5311
Laboratory LocationMilestone Addiction Treatment1 South Centre Street Floor 2, Merchantville, NJ 08109
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOHN G WILSON M.D.
Obstetrics & Gynecology (Gynecology)
1 S CENTRE ST, #201
MERCHANTVILLE, NJ 08109
Camden County (856) 663-4447
DR. LEONARD F KAPLAN MD
Pediatrics
1 S CENTRE ST, SUITE 100
MERCHANTVILLE, NJ 08109
Camden County (856) 665-7337
DR. LANCE L GOOBERMAN M.D.
Internal Medicine (Addiction Medicine)
1 S CENTRE ST, #201
MERCHANTVILLE, NJ 08109
Camden County (856) 663-4447
MERCHANTVILLE ADDICTION TREATMENT LLC
Substance Abuse Rehabilitation Facility
1 S CENTRE ST
MERCHANTVILLE, NJ 08109
Camden County (800) 663-5548
MADISON KATE ADAMS APN
Nurse Practitioner (Family)
1 S CENTRE ST
MERCHANTVILLE, NJ 08109
Camden County (800) 978-0808
MR. TIMOTHY KEATING JR. LSW, LCADC
Counselor (Addiction (Substance Use Disorder))
1 S CENTRE ST
MERCHANTVILLE, NJ 08109
Camden County (856) 477-1218
LACONDIA SUNDIATA
Nurse Practitioner (Family)
1 S CENTRE ST
MERCHANTVILLE, NJ 08109
Camden County (856) 625-4994
TIERA MONIQUE MCCOY FNP-BC
Nurse Practitioner (Family)
1 S CENTRE ST
MERCHANTVILLE, NJ 08109
Camden County (215) 528-2853

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Milestone Addiction Treatment LLC's NPI number?

The NPI number for Milestone Addiction Treatment LLC is 1023577731. It was assigned to this organization in the NPPES registry on March 13, 2019.

Where is Milestone Addiction Treatment LLC located?

Milestone Addiction Treatment LLC is located at 1 S Centre St, Merchantville, NJ 08109. The listed phone number is (856) 816-0728.

What is Milestone Addiction Treatment LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Milestone Addiction Treatment LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2182193) is associated with this NPI, valid through April 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Milestone Addiction Treatment LLC was last updated on March 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.