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MONTE NIDO NEW JERSEY LLC
NPI 1902529076
Clinic/Center - Adolescent and Children Mental Health in Cherry Hill, NJ

Active since September 22, 2022CLIA 31D2266960 · Waiver
120 MUNN LN, CHERRY HILL, NJ 08034(856) 626-5100(856) 428-1629 Get Directions Write a Review

NPPES record last updated: September 23, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Monte Nido New Jersey Llc NPPES

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

MONTE NIDO NEW JERSEY LLC (NPI 1902529076), doing business as Clementine Cherry Hill, is a healthcare organization registered as an adolescent and children mental health in Cherry Hill, New Jersey and active in the NPI registry since September 2022. The organization holds a CLIA Waiver certificate valid through August 17, 2026 and lists Mike Bagley, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1902529076
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameMONTE NIDO NEW JERSEY LLC
Location Address120 MUNN LNCherry Hill, NJ 08034-3030
Mailing Address6100 Sw 76th Street, Monte Nido AffiliatesSouth Miami, FL 33143 · (305) 663-1876
Phone(856) 626-5100
Fax(856) 428-1629
Organization SubpartNo
Authorized OfficialMike BagleyChief Financial Officer · (305) 663-1876
Enumeration DateSeptember 22, 2022
Last NPPES UpdateSeptember 23, 2022
NPPES CertifiedSeptember 23, 2022
✔ NPI 1902529076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
120 MUNN LN, Cherry Hill, NJ 08034
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Other Names 1

Doing Business AsClementine Cherry Hill

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 31D2266960

Monte Nido New Jersey, LLC D/B/A Clementine Cherry Hill · Cherry Hill, NJ
Active · expires Aug 17, 2026
CLIA Number31D2266960
Laboratory TypeResidential Mental Health
Certificate Effective DateAugust 18, 2024
Certificate Expiration DateAugust 17, 2026
Laboratory DirectorMolly M. Perlman
Laboratory Phone(856) 626-5100
Laboratory LocationMonte Nido New Jersey, LLC D/B/A Clementine Cherry Hill120 Munn Lane, Cherry Hill, NJ 08034
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Monte Nido New Jersey LLC's NPI number?

The NPI number for Monte Nido New Jersey LLC is 1902529076. It was assigned to this organization in the NPPES registry on September 22, 2022. The provider is doing business as Clementine Cherry Hill.

Where is Monte Nido New Jersey LLC located?

Monte Nido New Jersey LLC is located at 120 Munn Ln, Cherry Hill, NJ 08034. The listed phone number is (856) 626-5100.

What is Monte Nido New Jersey LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

Does Monte Nido New Jersey LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2266960) is associated with this NPI, valid through August 17, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Monte Nido New Jersey LLC was last updated on September 23, 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.