AMBROSIA OF NEW JERSEY LLC
NPI 1194298976
Substance Abuse Rehabilitation Facility in Medford, NJ

Q: What is Ambrosia Of New Jersey LLC's NPI number?

The NPI number for Ambrosia Of New Jersey LLC is 1194298976. It was assigned to this organization in the NPPES registry on January 4, 2019. The provider is doing business as Pinelands Recovery Center of Medford.

Q: What is Ambrosia Of New Jersey LLC's specialty?

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

Active since January 04, 2019

287 OLD MARLTON PIKE, MEDFORD, NJ 08055(561) 578-8600 Get Directions Write a Review

NPPES record last updated: January 4, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ambrosia Of New Jersey Llc NPPES

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

AMBROSIA OF NEW JERSEY LLC (NPI 1194298976), doing business as Pinelands Recovery Center Of Medford, is a healthcare organization registered as a substance abuse rehabilitation facility in Medford, New Jersey and active in the NPI registry since January 2019. The organization lists William Bradley Cooper, Cfo, as its authorized official.

NPPES Registry Identity

NPI1194298976

Entity TypeOrganization

Primary Taxonomy324500000X

Legal Business NameAMBROSIA OF NEW JERSEY LLC

Location Address287 OLD MARLTON PIKEMedford, NJ 08055-8761

Mailing Address4821 Katella Ave, Suite 111Los Alamitos, CA 90720 · (714) 828-1800

Phone(561) 578-8600

Organization SubpartYesParent: Discovery Practice Management, Inc

Authorized OfficialWilliam Bradley CooperCfo · (714) 947-7351

Enumeration DateJanuary 4, 2019

✔ NPI 1194298976 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.

287 OLD MARLTON PIKE, Medford, NJ 08055

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Other Names 1

Doing Business AsPinelands Recovery Center Of Medford

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 Ambrosia Of New Jersey LLC's NPI number?

The NPI number for Ambrosia Of New Jersey LLC is 1194298976. It was assigned to this organization in the NPPES registry on January 4, 2019. The provider is doing business as Pinelands Recovery Center of Medford.

Where is Ambrosia Of New Jersey LLC located?

Ambrosia Of New Jersey LLC is located at 287 Old Marlton Pike, Medford, NJ 08055. The listed phone number is (561) 578-8600.

What is Ambrosia Of New Jersey LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Ambrosia Of New Jersey LLC was last updated on January 4, 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.