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NICHOLAS STAFFORD CPRS
NPI 1700594488
Substance Abuse Rehabilitation Facility in Pemberton, NJ

Active since November 10, 2022
610 PEMBERTON BROWNS MILLS RD, PEMBERTON, NJ 08068(609) 321-6269(609) 283-0262 Get Directions Write a Review

NPPES record last updated: November 10, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nicholas Stafford Cprs NPPES

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

NICHOLAS STAFFORD CPRS (NPI 1700594488) is an individual substance abuse rehabilitation facility provider in Pemberton, New Jersey, licensed in New Jersey (1000140) and active in the NPI registry since November 2022.

NPPES Registry Identity

NPI1700594488
Entity TypeIndividualMale
Primary Taxonomy324500000X
Provider Legal NameNICHOLAS STAFFORDCredential: CPRS
Location Address610 PEMBERTON BROWNS MILLS RDPemberton, NJ 08068-1537
Mailing Address610 Pemberton Browns Mills RdPemberton, NJ 08068-1537 · (609) 321-6269
Phone(609) 321-6269
Fax(609) 283-0262
Sole ProprietorYes
Enumeration DateNovember 10, 2022
NPPES CertifiedNovember 10, 2022
✔ NPI 1700594488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License✔ Licensed in NJ · 1000140
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.
610 PEMBERTON BROWNS MILLS RD, Pemberton, NJ 08068
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Other Identifiers 1

Other1000140NJ · Substance Abuse Rehabilitation Facility

Other Providers at the Same Location NPPES 12

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

PHYLLIS GLENN ANDERSON ANP-BC
Nurse Practitioner (Adult Health)
610 PEMBERTON BROWNS MILLS RD
PEMBERTON, NJ 08068
Burlington County (609) 726-4031
MARYVILLE, INC
Substance Abuse Rehabilitation Facility
610 PEMBERTON BROWNS MILLS RD
PEMBERTON, NJ 08068
Burlington County (609) 321-6263
UNION ASSOCIATION OF THE CHILDREN'S HOME OF BURLINGTON COUNTY, INC.
Clinic/Center (Adolescent and Children Mental Health)
610 PEMBERTON BROWNS MILLS RD
PEMBERTON, NJ 08068
Burlington County (609) 726-7155
LEGACY TREATMENT SERVICES
Clinic/Center
610 PEMBERTON BROWNS MILLS RD
PEMBERTON, NJ 08068
Burlington County (609) 288-3067
NICOLE M STORER CPRS
Substance Abuse Rehabilitation Facility
610 PEMBERTON BROWNS MILLS RD
PEMBERTON, NJ 08068
Burlington County (856) 271-4486
MARYVILLE, INC
Substance Abuse Rehabilitation Facility
610 PEMBERTON BROWNS MILLS RD
PEMBERTON, NJ 08068
Burlington County (609) 321-6263
JEANA ANN SIMKO CPRS, CRSP
Counselor
610 PEMBERTON BROWNS MILLS RD
PEMBERTON, NJ 08068
Burlington County (609) 321-6263
LEGACY TREATMENT SERVICES
Substance Abuse Rehabilitation Facility
610 PEMBERTON BROWNS MILLS RD
PEMBERTON, NJ 08068
Burlington County (609) 288-3067

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 Nicholas Stafford's NPI number?

The NPI number for Nicholas Stafford is 1700594488. It was assigned to this individual provider in the NPPES registry on November 10, 2022.

Where is Nicholas Stafford located?

Nicholas Stafford practices at 610 Pemberton Browns Mills Rd, Pemberton, NJ 08068. The listed phone number is (609) 321-6269.

What is Nicholas Stafford'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 Nicholas Stafford was last updated on November 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.