Healthcare Provider Details

I. General information

NPI: 1457861684
Provider Name (Legal Business Name): HIGHPOINT DAS PROGRAM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2017
Last Update Date: 09/10/2025
Certification Date: 09/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

162 BROAD ST
FLEMINGTON NJ
08822-1603
US

IV. Provider business mailing address

1075 STEPHENSON AVE UNIT C
OCEANPORT NJ
07757-1242
US

V. Phone/Fax

Practice location:
  • Phone: 908-788-5979
  • Fax: 908-788-0960
Mailing address:
  • Phone: 848-208-2636
  • Fax: 848-208-2051

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: JERRY TISCHLER
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 848-208-2636