MARYVILLE, INC
NPI 1225262629
Clinic/Center - Rehabilitation, Substance Use Disorder in Turnersville, NJ

Q: What is Maryville, Inc's NPI number?

The NPI number for Maryville, Inc is 1225262629. It was assigned to this organization in the NPPES registry on May 13, 2009.

Q: What is Maryville, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Q: When was this NPI record last updated?

The NPPES record for Maryville, Inc was last updated on June 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since May 13, 2009

129 JOHNSON RD STE 7, TURNERSVILLE, NJ 08012(856) 863-3913(856) 863-3917 Get Directions Write a Review

NPPES record last updated: June 12, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jun 12, 2025, Jul 21, 2022, Aug 1, 2018 (3 updates tracked since 2018).

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About Maryville, Inc NPPES

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

MARYVILLE, INC (NPI 1225262629) is a healthcare organization registered as a rehabilitation, substance use disorder in Turnersville, New Jersey and active in the NPI registry since May 2009. The organization maintains a secondary practice location in Voorhees and lists Jared Levy, Cfo, as its authorized official.

NPPES Registry Identity

NPI1225262629

Entity TypeOrganization

Primary Taxonomy261QR0405X

Legal Business NameMARYVILLE, INC

Location Address129 JOHNSON RD STE 7Turnersville, NJ 08012

Mailing Address129 Johnson Rd Ste 7Turnersville, NJ 08012-1777 · (856) 863-3913 · Fax (856) 863-3917

Phone(856) 863-3913

Fax(856) 863-3917

Organization SubpartNo

Authorized OfficialJared LevyCfo · (856) 863-3913

Enumeration DateMay 13, 2009

Last NPPES UpdateJune 12, 20253 updates tracked since enumeration

NPPES CertifiedJune 12, 2025

✔ NPI 1225262629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities

Taxonomy Code261QR0405X

License✔ Licensed in NJ · 20000132

129 JOHNSON RD STE 7, Turnersville, NJ 08012

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Secondary Practice Location 1

Location 1526 S Burnt Mill RdVoorhees, NJ 08043-2205 · Phone (856) 227-2717 · Fax (856) 227-6499

Other Identifiers 1

Medicaid0185736NJ

Other Providers at the Same Location NPPES 20

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

DIONNE MICKENS

Case Manager/Care Coordinator