Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nicholas Stafford, CPRS

Individual provider Substance Abuse Rehabilitation Facility · NPI 1700594488

Nicholas Stafford, CPRS is a Substance Abuse Rehabilitation Facility in Pemberton, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2022

Practice location Address checks out

610 Pemberton Browns Mills Rd
Pemberton, NJ 08068-1537
Phone: (609) 321-6269
Fax: (609) 283-0262
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Abuse Rehabilitation Facility (primary) Taxonomy 324500000X · Licence 1000140 (NJ)

Record details

NPI number1700594488
Entity typeIndividual (Type 1)
GenderMale
Credentials CPRS
Sole proprietorYes
NPI enumeratedNovember 10, 2022
Last updated in NPPESNovember 10, 2022
Certification dateNovember 10, 2022

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