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SJDTC
NPI 1184833550
Clinic/Center - Methadone in Bridgeton, NJ

Active since May 22, 2007CLIA 31D2111881 · Waiver
162 SUNNY SLOPE DR, BRIDGETON, NJ 08302(856) 455-5441(856) 455-0505 Get Directions Write a Review

NPPES record last updated: January 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 8, 2025, Jul 1, 2020 (2 updates tracked since 2020).

About Sjdtc NPPES

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

SJDTC (NPI 1184833550), doing business as South Jersey Drug Treatment Center, is a healthcare organization registered as a methadone in Bridgeton, New Jersey and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through April 17, 2028 and lists Mary I Reimer, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1184833550
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NameSOUTH JERSEY DRUG TREATMENT CENTER
Location Address162 SUNNY SLOPE DRBridgeton, NJ 08302-5732
Mailing AddressPo Box 867Bridgeton, NJ 08302-0457 · (856) 455-5441 · Fax (856) 455-0505
Phone(856) 455-5441
Fax(856) 455-0505
Organization SubpartNo
Authorized OfficialMary I ReimerExecutive Director · (609) 805-2986
Enumeration DateMay 22, 2007
Last NPPES UpdateJanuary 8, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2025
✔ NPI 1184833550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · MethadoneAmbulatory Health Care Facilities
Taxonomy Code261QM2800X
License✔ Licensed in NJ · 22415
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
162 SUNNY SLOPE DR, Bridgeton, NJ 08302
Open in Google Maps ↗

Other Names 3

Other NameSjdtc
Doing Business AsSouth Jersey Drug Treatment Center
Other NameSouth Jersey Drug Treatment

Other Identifiers 1

Medicaid0102105NJ

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 31D2111881

South Jersey Drug Treatment · Bridgeton, NJ
Active · expires Apr 17, 2028
CLIA Number31D2111881
Laboratory TypeCommunity Clinic
Certificate Effective DateApril 18, 2026
Certificate Expiration DateApril 17, 2028
Laboratory DirectorMary I. Reimer
Laboratory Phone(856) 455-5441
Laboratory LocationSouth Jersey Drug Treatment162 Sunny Slope Drive, Bridgeton, NJ 08302
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm G2067
Medication Assisted Treatment (MAT) with methadone is a comprehensive approach to manage opioid addiction. It includes weekly methadone dispensing, substance use counseling, individual and group therapy sessions, and toxicology tests as needed, all provided by a Medicare-enrolled opioid treatment program.
277 services11 patients

Other Providers at the Same Location NPPES

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

MYANGEL A DAVIS
Counselor (Addiction (Substance Use Disorder))
162 SUNNY SLOPE DR
BRIDGETON, NJ 08302
Cumberland County (856) 455-5441

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 South Jersey Drug Treatment Center's NPI number?

The NPI number for South Jersey Drug Treatment Center is 1184833550. It was assigned to this organization in the NPPES registry on May 22, 2007. The provider is also known as Sjdtc and South Jersey Drug Treatment.

Where is South Jersey Drug Treatment Center located?

South Jersey Drug Treatment Center is located at 162 Sunny Slope Dr, Bridgeton, NJ 08302. The listed phone number is (856) 455-5441.

What is South Jersey Drug Treatment Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Methadone, with taxonomy code 261QM2800X.

Does South Jersey Drug Treatment Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2111881) is associated with this NPI, valid through April 17, 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 South Jersey Drug Treatment Center was last updated on January 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.