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MIDDLETOWN MEDICAL, LLC
NPI 1962712398
Clinic/Center - Methadone in Red Bank, NJ

Active since October 19, 2010CLIA 31D2151334 · Waiver
600 HWY 35, RED BANK, NJ 07701(732) 706-1300(732) 706-1313 Get Directions Write a Review

NPPES record last updated: December 30, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Middletown Medical, Llc NPPES

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

MIDDLETOWN MEDICAL, LLC (NPI 1962712398) is a healthcare organization registered as a methadone in Red Bank, New Jersey and active in the NPI registry since October 2010. The organization holds a CLIA Waiver certificate valid through July 16, 2028 and lists Robyn Tanis, Executive Director Of Contract Mgmt, as its authorized official.

NPPES Registry Identity

NPI1962712398
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NameMIDDLETOWN MEDICAL, LLC
Location Address600 HWY 35Red Bank, NJ 07701-5018
Mailing Address1317 Route 73 Ste 200Mount Laurel, NJ 08054-2202 · (856) 533-8762
Phone(732) 706-1300
Fax(732) 706-1313
Organization SubpartNo
Authorized OfficialRobyn TanisExecutive Director Of Contract Mgmt · (856) 533-8762
Enumeration DateOctober 19, 2010
Last NPPES UpdateDecember 30, 2019
✔ NPI 1962712398 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.
600 HWY 35, Red Bank, NJ 07701
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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 31D2151334

Middletown Medical · Red Bank, NJ
Active · expires Jul 16, 2028
CLIA Number31D2151334
Laboratory TypeAlcohol/Drug Trmt
Certificate Effective DateJuly 17, 2026
Certificate Expiration DateJuly 16, 2028
Laboratory DirectorChristopher Johnston
Laboratory Phone(732) 706-1300
Laboratory LocationMiddletown Medical600 Route 35, Red Bank, NJ 07701
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

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.
1,486 services51 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.
436 services31 patients

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 Middletown Medical, LLC's NPI number?

The NPI number for Middletown Medical, LLC is 1962712398. It was assigned to this organization in the NPPES registry on October 19, 2010.

Where is Middletown Medical, LLC located?

Middletown Medical, LLC is located at 600 Hwy 35, Red Bank, NJ 07701. The listed phone number is (732) 706-1300.

What is Middletown Medical, LLC's specialty?

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

Does Middletown Medical, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2151334) is associated with this NPI, valid through July 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Middletown Medical, LLC was last updated on December 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.