Organization
OAKS INTEGRATED CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DERRY HOLLAND (CEO)
(609) 267-5928
Entity
Organization
Contact information
Practice address
73 S FULLERTON AVE, MONTCLAIR, NJ 07042-2618
(609) 267-5928
Mailing address
770 WOODLANE RD, WESTAMPTON, NJ 08060-3804
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0796034
—
NJ
05
—
PENDING
—
NJ
Enumeration date
08/26/2020
Last updated
03/20/2026
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