MEDICARE: ARCHWAY PROGRAMS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

General Provider Information

NPI Number	:	1699639518
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARCHWAY PROGRAMS

Provider Business Mailing Address
First Line	:	280 JACKSON RD
Second Line	:	P.O. BOX 668
City	:	ATCO
State	:	NJ
Zip	:	08004-1645
Country	:	US
Telephone Number	:	856-767-5757
Fax Number	:

Provider Business Practice Location Address
First Line	:	233 MONTICELLO ST
Second Line	:
City	:	UNION
State	:	NJ
Zip	:	07083-8263
Country	:	US
Telephone Number	:	856-767-5757
Fax Number	:

Authorized Official
Title or Position	:	CHIEF OPERATING OFFICER
Name	:	MR. SHAWN GIBSON
Credential	:
Telephone Number	:	856-767-5757

Provider Enumeration Date	:	12/15/2025
Last Update Date	:	03/16/2026

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Directions to “ARCHWAY PROGRAMS ” Practice Location

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