Healthcare Provider Details

I. General information

NPI: 1972763142
Provider Name (Legal Business Name): OAKS INTEGRATED CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2008
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

128 CROSS KEYS RD
BERLIN NJ
08009-9201
US

IV. Provider business mailing address

770 WOODLANE RD
WESTAMPTON NJ
08060-3804
US

V. Phone/Fax

Practice location:
  • Phone: 609-267-5928
  • Fax: 609-267-3029
Mailing address:
  • Phone: 609-267-5928
  • Fax: 609-267-3029

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: QINDI SHI
Title or Position: EXEC VICE PRESIDENT/CFO
Credential:
Phone: 609-267-5928