Provider Demographics
NPI:1437490893
Name:INTEGRITY, INC.
Entity Type:Organization
Organization Name:INTEGRITY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:DEDRICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-623-0600
Mailing Address - Street 1:PO BOX 510
Mailing Address - Street 2:103 LINCOLN PARK
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07101-0510
Mailing Address - Country:US
Mailing Address - Phone:973-623-0600
Mailing Address - Fax:
Practice Address - Street 1:26 LONGWORTH ST
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07102-1008
Practice Address - Country:US
Practice Address - Phone:973-639-6918
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-11
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ2000333261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7603401OtherWFNJ MEDICAID PROVIDER
NJ0310166Medicaid
NJ0310352OtherWFNJ MEDICAID PROVIDER
NJ0310361OtherWFNJ MEDICAID PROVIDER
NJ7603401OtherWFNJ MEDICAID PROVIDER
NJ7603207OtherWFNJ MEDICAID PROVIDER
NJ7601701OtherWFNJ MEDICAID PROVIDER
NJ0310328OtherWFNJ MEDICAID PROVIDER
NJ0310310OtherWFNJ MEDICAID PROVIDER
NJ0310221Medicaid
NJ763100OtherWFNJ MEDICAID PROVIDER
NJ0310158Medicaid