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MARYVILLE, INC
NPI 1780806083
Clinic/Center - Rehabilitation, Substance Use Disorder in Glassboro, NJ

Active since May 03, 2007
707 N MAIN ST, GLASSBORO, NJ 08028(856) 863-3913(856) 863-3917 Get Directions Write a Review

NPPES record last updated: April 7, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Maryville, Inc NPPES

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

MARYVILLE, INC (NPI 1780806083) is a healthcare organization registered as a rehabilitation, substance use disorder in Glassboro, New Jersey and active in the NPI registry since May 2007. The organization lists James O'brien, Ceo, as its authorized official.

NPPES Registry Identity

NPI1780806083
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameMARYVILLE, INC
Location Address707 N MAIN STGlassboro, NJ 08028-1605
Mailing Address707 N Main StGlassboro, NJ 08028-1605 · (856) 863-3913 · Fax (856) 863-3917
Phone(856) 863-3913
Fax(856) 863-3917
Organization SubpartNo
Authorized OfficialJames O'brienCeo · (856) 227-2717
Enumeration DateMay 3, 2007
Last NPPES UpdateApril 7, 2010
✔ NPI 1780806083 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 · 23032
707 N MAIN ST, Glassboro, NJ 08028
Open in Google Maps ↗

Other Identifiers 1

Medicaid7632304NJ

Other Providers at the Same Location NPPES 8

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

MRS. MEGAN P MCLAUGHLIN MSPT
Physical Therapist
707 N MAIN ST
GLASSBORO, NJ 08028
Gloucester County (856) 307-9700
DR. CHARLES ALDEN MOORE DPT
Physical Therapist
707 N MAIN ST
GLASSBORO, NJ 08028
Gloucester County (856) 307-9700
DR. KELLIANN GALLAGHER DPT
Physical Therapist
707 N MAIN ST
GLASSBORO, NJ 08028
Gloucester County (856) 707-9700
CORNERSTONE FOOT & ANKLE
Podiatrist
707 N MAIN ST
GLASSBORO, NJ 08028
Gloucester County (856) 582-6082
BRITTANY ASHLEY GRAY PT, DPT
Physical Therapist
707 N MAIN ST, SUITE 1
GLASSBORO, NJ 08028
Gloucester County (856) 307-9700
MR. ARMAND W DETHOMAS JR. DPT
Physical Therapist
707 N MAIN ST
GLASSBORO, NJ 08028
Gloucester County (856) 307-9700
LISA JERRY PT, DPT
Physical Therapist
707 N MAIN ST
GLASSBORO, NJ 08028
Gloucester County (856) 307-9700
ANDREW GIBSON
Physical Therapist
707 N MAIN ST
GLASSBORO, NJ 08028
Gloucester County (856) 307-9700

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 Maryville, Inc's NPI number?

The NPI number for Maryville, Inc is 1780806083. It was assigned to this organization in the NPPES registry on May 3, 2007.

Where is Maryville, Inc located?

Maryville, Inc is located at 707 N Main St, Glassboro, NJ 08028. The listed phone number is (856) 863-3913.

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.

When was this NPI record last updated?

The NPPES record for Maryville, Inc was last updated on April 7, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.