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SOMERDALE TREATMENT SERVICES
NPI 1255059481
Clinic/Center - Methadone in Somerdale, NJ

Active since August 15, 2022CLIA 31D2163259 · Waiver
1200 S. WHITE HORSE PIKE, SUITES 8,9,10, 11, SOMERDALE, NJ 08083(856) 792-7513 Get Directions Write a Review

NPPES record last updated: November 13, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 13, 2023, Aug 15, 2022 (2 updates tracked since 2022).

About Somerdale Treatment Services NPPES

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

SOMERDALE TREATMENT SERVICES (NPI 1255059481) is a healthcare organization registered as a methadone in Somerdale, New Jersey and active in the NPI registry since August 2022. The organization holds a CLIA Waiver certificate valid through March 10, 2027 and lists Robyn Tanis, Executive Director Of Contract Mgmt, as its authorized official.

NPPES Registry Identity

NPI1255059481
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NamePINNACLE TREATMENT CENTERS NJ-III, LLC
Location Address1200 S. WHITE HORSE PIKE, SUITES 8,9,10, 11Somerdale, NJ 08083-1332
Mailing Address1317 Route 73 Ste 200Mount Laurel, NJ 08054-2202 · (856) 439-6111
Phone(856) 792-7513
Organization SubpartNo
Authorized OfficialRobyn TanisExecutive Director Of Contract Mgmt · (856) 533-8762
Enumeration DateAugust 15, 2022
Last NPPES UpdateNovember 13, 20232 updates tracked since enumeration
NPPES CertifiedNovember 13, 2023
✔ NPI 1255059481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · MethadoneAmbulatory Health Care Facilities
Taxonomy Code261QM2800X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
Also ListedClinic/Center · Recovery CareTaxonomy 261QR0800X
1200 S. WHITE HORSE PIKE, Somerdale, NJ 08083
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Other Names 1

Doing Business AsSomerdale Treatment Services

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 31D2163259

Pinnacle Treatment Centers Nj-Iii, LLC Somerdale Treatment Services · Somerdale, NJ
Active · expires Mar 10, 2027
CLIA Number31D2163259
Laboratory TypeAlcohol & Drug Treatment
Certificate Effective DateMarch 11, 2025
Certificate Expiration DateMarch 10, 2027
Laboratory DirectorMichael S. Deshields
Laboratory Phone(856) 679-2500
Laboratory LocationPinnacle Treatment Centers Nj-Iii, LLC Somerdale Treatment Services1200 South White Horse Pike Suites 8, 9, 10 & 11, Somerdale, NJ 08083
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

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.
536 services19 patients
Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure G2078
This service provides an additional 7-day supply of methadone, a medication used to treat opioid addiction, for patients to take at home. It's provided by a Medicare-enrolled opioid treatment program. This service is billed separately from the main treatment procedure.
149 services12 patients

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 Pinnacle Treatment Centers Nj-Iii, LLC's NPI number?

The NPI number for Pinnacle Treatment Centers Nj-Iii, LLC is 1255059481. It was assigned to this organization in the NPPES registry on August 15, 2022. The provider is doing business as Somerdale Treatment Services.

Where is Pinnacle Treatment Centers Nj-Iii, LLC located?

Pinnacle Treatment Centers Nj-Iii, LLC is located at 1200 S. White Horse Pike Suites 8,9,10, 11, Somerdale, NJ 08083. The listed phone number is (856) 792-7513.

What is Pinnacle Treatment Centers Nj-Iii, LLC's specialty?

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

Does Pinnacle Treatment Centers Nj-Iii, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2163259) is associated with this NPI, valid through March 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pinnacle Treatment Centers Nj-Iii, LLC was last updated on November 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.