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MERCHANTVILLE ADDICTION TREATMENT LLC
NPI 1205390622
Substance Abuse Rehabilitation Facility in Merchantville, NJ

Active since January 30, 2019
1 S CENTRE ST, MERCHANTVILLE, NJ 08109(800) 663-5548 Get Directions Write a Review

NPPES record last updated: January 30, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Merchantville Addiction Treatment Llc NPPES

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

MERCHANTVILLE ADDICTION TREATMENT LLC (NPI 1205390622) is a healthcare organization registered as a substance abuse rehabilitation facility in Merchantville, New Jersey and active in the NPI registry since January 2019. The organization lists Jason Gooberman, Ceo, as its authorized official.

NPPES Registry Identity

NPI1205390622
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameMERCHANTVILLE ADDICTION TREATMENT LLC
Location Address1 S CENTRE STMerchantville, NJ 08109-2213
Mailing Address1 S Centre StMerchantville, NJ 08109-2213
Phone(800) 663-5548
Organization SubpartNo
Authorized OfficialJason GoobermanCeo · (856) 449-6159
Enumeration DateJanuary 30, 2019
✔ NPI 1205390622 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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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.

MILESTONE ADDICTION TREATMENT LLC
Substance Abuse Rehabilitation Facility
1 S CENTRE ST
MERCHANTVILLE, NJ 08109
Camden County (856) 816-0728
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
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 Merchantville Addiction Treatment LLC's NPI number?

The NPI number for Merchantville Addiction Treatment LLC is 1205390622. It was assigned to this organization in the NPPES registry on January 30, 2019.

Where is Merchantville Addiction Treatment LLC located?

Merchantville Addiction Treatment LLC is located at 1 S Centre St, Merchantville, NJ 08109. The listed phone number is (800) 663-5548.

What is Merchantville Addiction Treatment 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 Merchantville Addiction Treatment LLC was last updated on January 30, 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.