PINELANDS RECOVERY CENTER OF MEDFORD
NPI 1770055428
Substance Abuse Rehabilitation Facility in Medford, NJ

Q: What is Ambrosia Of Medford LLC's NPI number?

The NPI number for Ambrosia Of Medford LLC is 1770055428. It was assigned to this organization in the NPPES registry on December 19, 2018. The provider is doing business as Pinelands Recovery Center Of Medford.

Q: What is Ambrosia Of Medford LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Active since December 19, 2018

283 OLD MARLTON PIKE, MEDFORD, NJ 08055(714) 828-1800(714) 882-1186 Get Directions Write a Review

NPPES record last updated: May 8, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 8, 2023, Dec 19, 2018 (2 updates tracked since 2018).

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About Pinelands Recovery Center Of Medford NPPES

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

PINELANDS RECOVERY CENTER OF MEDFORD (NPI 1770055428) is a healthcare organization registered as a substance abuse rehabilitation facility in Medford, New Jersey and active in the NPI registry since December 2018. The organization maintains a secondary practice location in Medford and lists Magdalen Gustilo, Director Of Payer Relations, as its authorized official.

NPPES Registry Identity

NPI1770055428

Entity TypeOrganization

Primary Taxonomy324500000X

Legal Business NameAMBROSIA OF MEDFORD LLC

Location Address283 OLD MARLTON PIKEMedford, NJ 08055-8761

Mailing Address18401 Von Karman Ave Ste 500Irvine, CA 92612-8531 · (714) 828-1800 · Fax (714) 882-1186

Phone(714) 828-1800

Fax(714) 882-1186

Organization SubpartYesParent: Discovery Practice Management, Inc.

Authorized OfficialMagdalen GustiloDirector Of Payer Relations · (714) 568-7667

Enumeration DateDecember 19, 2018

Last NPPES UpdateMay 8, 20232 updates tracked since enumeration

NPPES CertifiedMay 8, 2023

✔ NPI 1770055428 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.

283 OLD MARLTON PIKE, Medford, NJ 08055

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Other Names 1

Doing Business AsPinelands Recovery Center Of Medford

Secondary Practice Location 1

Location 1285 Old Marlton PikeMedford, NJ 08055-8761 · Phone (714) 828-1800 · Fax (714) 882-1186

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 Ambrosia Of Medford LLC's NPI number?

The NPI number for Ambrosia Of Medford LLC is 1770055428. It was assigned to this organization in the NPPES registry on December 19, 2018. The provider is doing business as Pinelands Recovery Center Of Medford.

Where is Ambrosia Of Medford LLC located?

Ambrosia Of Medford LLC is located at 283 Old Marlton Pike, Medford, NJ 08055. The listed phone number is (714) 828-1800.

What is Ambrosia Of Medford 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 Ambrosia Of Medford LLC was last updated on May 8, 2023. 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.