SOUTH AMBOY HEALTH CENTER LLC
NPI 1801414024
Clinic/Center - Methadone in South Amboy, NJ

Q: What is South Amboy Health Center LLC's NPI number?

The NPI number for South Amboy Health Center LLC is 1801414024. It was assigned to this organization in the NPPES registry on July 14, 2020.

Q: What is South Amboy Health Center LLC's specialty?

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

Active since July 14, 2020CLIA 31D2208740 · Waiver

1 MAIN ST, SOUTH AMBOY, NJ 08879(908) 258-8765 Get Directions Write a Review

NPPES record last updated: July 14, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About South Amboy Health Center Llc NPPES

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

SOUTH AMBOY HEALTH CENTER LLC (NPI 1801414024) is a healthcare organization registered as a methadone in South Amboy, New Jersey and active in the NPI registry since July 2020. The organization holds a CLIA Waiver certificate valid through January 7, 2027 and lists John Macevoy, Owner, as its authorized official.

NPPES Registry Identity

NPI1801414024

Entity TypeOrganization

Primary Taxonomy261QM2800X

Legal Business NameSOUTH AMBOY HEALTH CENTER LLC

Location Address1 MAIN STSouth Amboy, NJ 08879-1142

Mailing Address1 Main StSouth Amboy, NJ 08879-1142 · (908) 258-8765

Phone(908) 258-8765

Organization SubpartNo

Authorized OfficialJohn MacevoyOwner · (973) 809-8279

Enumeration DateJuly 14, 2020

NPPES CertifiedJuly 14, 2020

✔ NPI 1801414024 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.

1 MAIN ST, South Amboy, NJ 08879

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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 31D2208740

South Amboy Health Center · South Amboy, NJ

Active · expires Jan 7, 2027

CLIA Number31D2208740

Laboratory TypeOpiate Treatment Program

Certificate Effective DateJanuary 8, 2025

Certificate Expiration DateJanuary 7, 2027

Laboratory DirectorBrad Skokowski

Laboratory Phone(732) 952-1500

Laboratory LocationSouth Amboy Health Center1 Main Street, South Amboy, NJ 08879

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 3

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.

690 services31 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.

267 services16 patients

Periodic assessment; assessing periodically by qualified personnel to determine the most appropriate combination of services and treatment (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for G2077

Periodic assessment is a routine check-up by trained professionals to determine the best mix of services and treatments for your health needs. This is typically provided by a Medicare-enrolled opioid treatment program. It's listed separately in addition to your main treatment code. This ensures you receive the most suitable care for your situation.

75 services24 patients

Other Providers at the Same Location NPPES 16

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

MS. LISA CECELIA GIACOMIAZZIO MSW

Counselor (Addiction (Substance Use Disorder))