IndividualActive
Ronald Martin, PROGRAM SPONSOR
NPI 1710551460 · Methadone Clinic · Cherry Hill, NJ
Provider details
- NPI number
- 1710551460
- Entity type
- Individual
- Primary specialty
- Methadone ClinicAmbulatory Health Care Facilities
- Credential
- PROGRAM SPONSOR
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2000872 (NJ)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(62/100 index)
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
1 documented practice location
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
1305 Kings Hwy N
Cherry Hill, NJ 08034-1919
Phone: (856) 651-7826
Fax: (856) 229-7142
Street-level locationGet directions
Mailing address
1305 Kings Hwy N
Cherry Hill, NJ 08034-1919
Registry dates
- Enumerated
- 2021-05-18
- Last updated
- 2021-05-18
- Certified
- 2021-05-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.