| Habit Opco, Llc | |
|
111 Highway 35 Suite 7 Cliffwood NJ 07721-1515 | |
| (732) 727-2555 | |
| (737) 727-0255 |
| Full Name | Habit Opco, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 111 Highway 35, Cliffwood, New Jersey |
| Authorized Official Name and Position | Brian Phillip Farley (VP & SECRETARY) |
| Authorized Official Contact | 6158616000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Habit Opco, Llc 6183 Paseo Del Norte Ste 200 Carlsbad CA 92011-1151 Ph: (855) 259-2288 | Habit Opco, Llc 111 Highway 35 Suite 7 Cliffwood NJ 07721-1515 Ph: (732) 727-2555 |
| NPI Number | 1386888279 |
|---|---|
| Provider Enumeration Date | 04/23/2009 |
| Last Update Date | 08/23/2023 |
| Medicare PECOS PAC ID | 0143654285 |
|---|---|
| Medicare Enrollment ID | O20191226001884 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386888279 | NPI | - | NPPES |
| 0191256 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 2000337 (New Jersey) | Secondary |
| 261QM2800X | Clinic/center - Methadone | (* (Not Available)) | Primary |