Ambrosia of Medford LLC
NPI 1174117964 · Substance Abuse Rehabilitation Facility · Medford, NJ
Ambrosia of Medford LLC is a Substance Abuse Rehabilitation Facility organization in Medford, NJ (NPI 1174117964).
Provider details
- NPI number
- 1174117964
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Parent organization
- Ambrosia of Medford LLC
- Organization subpart
- Yes
- Authorized official
- Magdalen Gustilo, Director of Payer Relations(714) 568-7667
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Pinelands Recovery Center of Medford
Additional practice locations (1)
- 283 Old Marlton PikeMedford, NJ 08055-8761Phone: (714) 828-1800Fax: (714) 882-1186
Registry dates
- Enumerated
- 2021-02-23
- Last updated
- 2023-05-08
- Certified
- 2023-05-08
Frequently asked questions
- What is Ambrosia of Medford LLC's NPI number?
- Ambrosia of Medford LLC's National Provider Identifier (NPI) is 1174117964, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ambrosia of Medford LLC?
- Ambrosia of Medford LLC is classified in the NPPES registry as Substance Abuse Rehabilitation Facility (Residential Treatment Facilities).
- Where is Ambrosia of Medford LLC located?
- Ambrosia of Medford LLC's practice location on file with NPPES is 285 Old Marlton Pike, Medford, NJ 08055-8761.
- What is Ambrosia of Medford LLC's phone number?
- The practice phone number listed in the NPPES registry for Ambrosia of Medford LLC is (714) 828-1800.
- Who is the authorized official for Ambrosia of Medford LLC?
- The authorized official listed on Ambrosia of Medford LLC's NPPES record is Magdalen Gustilo, Director of Payer Relations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ambrosia of Medford LLC's NPI active?
- Yes — Ambrosia of Medford LLC's NPI (1174117964) is active in the NPPES registry as of the last update on 2023-05-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.