STATELINE MEDICAL
NPI 1346419769
Clinic/Center - Methadone in Phillipsburg, NJ

Active since February 29, 2008
590 MARSHALL STREET, PHILLIPSBURG, NJ 08865(908) 387-0003 Get Directions Write a Review

NPPES record last updated: April 26, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Apr 26, 2022, Dec 23, 2019 (2 updates tracked since 2019).

About Stateline Medical NPPES

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

STATELINE MEDICAL (NPI 1346419769) is a healthcare organization registered as a methadone in Phillipsburg, New Jersey and active in the NPI registry since February 2008. The organization lists Robyn Tanis, Executive Director Of Contract Mgmt, as its authorized official.

NPPES Registry Identity

NPI1346419769
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NamePINNACLE TREATMENT CENTERS NJ-II LLC
Location Address590 MARSHALL STREETPhillipsburg, NJ 08865
Mailing Address1317 Route 73 Ste 200Mount Laurel, NJ 08054-2202 · (856) 439-6111
Organization SubpartYesParent: Pinnacle Treatment Centers Inc
Authorized OfficialRobyn TanisExecutive Director Of Contract Mgmt · (856) 533-8762
Enumeration DateFebruary 29, 2008
Last NPPES UpdateApril 26, 20222 updates tracked since enumeration
NPPES CertifiedApril 26, 2022
NPI 1346419769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
590 MARSHALL STREET, Phillipsburg, NJ 08865

Other Names 1

Doing Business AsStateline Medical

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.
898 services33 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.
424 services21 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-Ii LLC's NPI number?

The NPI number for Pinnacle Treatment Centers Nj-Ii LLC is 1346419769. It was assigned to this organization in the NPPES registry on February 29, 2008. The provider is doing business as Stateline Medical.

Where is Pinnacle Treatment Centers Nj-Ii LLC located?

Pinnacle Treatment Centers Nj-Ii LLC is located at 590 Marshall Street, Phillipsburg, NJ 08865. The listed phone number is (908) 387-0003.

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

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

When was this NPI record last updated?

The NPPES record for Pinnacle Treatment Centers Nj-Ii LLC was last updated on April 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.