ADVOSERV OF NEW JERSEY, INC.
NPI 1073099669
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Ewing, NJ

Active since July 17, 2018

NPPES record last updated: July 17, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Community Based Residential Treatment Fa...

About ADVOSERV OF NEW JERSEY, INC.

This page provides the complete NPI Profile along with additional information for Advoserv Of New Jersey, Inc., a provider established in Ewing, New Jersey operating as a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1073099669 assigned on July 2018. The practitioner's primary taxonomy code is 320900000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Michael Wilder Mhsa (Senior Vp Of Operations)

NPI
1073099669 Verify this NPI
Provider Name
ADVOSERV OF NEW JERSEY, INC.
Entity Type
Organization
Location Address
56 BROPHY DR EWING, NJ 08638
Location Phone
(856) 241-3320
Mailing Address
510 HERON DR STE 114 SWEDESBORO, NJ 08085
Mailing Phone
(856) 241-3320
Mailing Fax
(856) 241-3321
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
07-17-2018
Last Update Date
07-17-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Taxonomy Code
320900000X
Type
Residential Treatment Facilities
Taxonomy Description
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MICHAEL WILDER MHSA

Authorized Official Title
SENIOR VP OF OPERATIONS
Authorized Official Phone
(856) 241-3320

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0463591MEDICAID (05)NJ 

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
56 BROPHY DR
EWING, NJ 08638

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073099669, enumerated as an "organization" on July 17, 2018.

The provider is located at 56 BROPHY DR EWING, NJ 08638 and the phone number is (856) 241-3320.

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.