PINELANDS RECOVERY CENTER OF MEDFORD
NPI 1174117964
Substance Abuse Rehabilitation Facility in Medford, NJ
NPI Status: Active since February 23, 2021
Contact Information
285 OLD MARLTON PIKE
MEDFORD, NJ
ZIP 08055
Phone: (714) 828-1800
Fax: (714) 882-1186
- Organization
- Substance Abuse Rehabilitation Facility
- CLIA Number: 31D2233477
- CLIA Cert. Type: Other - RESIDENTIAL TREATMENT
- CLIA Exp. Date: 08-23-2027
About PINELANDS RECOVERY CENTER OF MEDFORD
This page provides the complete NPI Profile along with additional information for Pinelands Recovery Center Of Medford, a provider established in Medford, New Jersey operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1174117964 assigned on February 2021. The practitioner's primary taxonomy code is 324500000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Pinelands Recovery Center Of Medford. The authorized official of this NPI record is Magdalen Gustilo (Director Of Payer Relations)
- NPI
- 1174117964
- Provider Legal Name
- AMBROSIA OF MEDFORD LLC
- Other Organization Name
- PINELANDS RECOVERY CENTER OF MEDFORD
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 285 OLD MARLTON PIKE MEDFORD, NJ 08055
- Location Phone
- (714) 828-1800
- Location Fax
- (714) 882-1186
- Mailing Address
- 18401 VON KARMAN AVE STE 500 IRVINE, CA 92612
- Mailing Phone
- (714) 828-1800
- Mailing Fax
- (714) 882-1186
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 02-23-2021
- Last Update Date
- 05-08-2023
- Code Navigator
Location Map
Secondary Locations
- 283 Old Marlton Pike
Medford, NJ 08055
(714) 828-1800
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
Substance Abuse Rehabilitation Facility
- Taxonomy Code
- 324500000X
- Type
- Residential Treatment Facilities
- Taxonomy Description
- 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.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 31D2233477
- Facility Type
- Other - RESIDENTIAL TREATMENT
- Certificate Effective Date
- August 24, 2025
- Certificate Expiration Date
- August 23, 2027
- Laboratory Director
- DAVID GIGLIOTTI
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Pinelands Recovery Center Of Medford to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1174117964, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 56 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174117964, enumerated as an "organization" on February 23, 2021.
The provider is located at 285 OLD MARLTON PIKE MEDFORD, NJ 08055 and the phone number is (714) 828-1800.
Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.
