COLLEGE RECOVERY LLC (NPI# 1467852798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467852798 |
| Entity Type | Organization |
| Organization Name | COLLEGE RECOVERY LLC |
| Practice Address |
104 Bayard St Suite 1 New Brunswick NJ 08901-2102 |
| Practice Telephone | 9178069662 |
| Mailing Telephone | 9178069662 |
| Enumeration Date | 2014-08-22 |
| Last Update Date | 2015-02-19 |
| Authorized Official Name | MR. ISAAC GLASMAN (DIRECTOR) |
| Authorized Official Telephone | 8178069662 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | DEPT OF HUMAN SERVICES | 2000540 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376996009 | College Recovery LLC | Clinical Medical Laboratory | 104 Bayard St, New Brunswick, NJ 08901-2389 | 2016-07-18 |
| Street Address |
104 BAYARD ST SUITE 1 |
| City | NEW BRUNSWICK |
| State | NJ |
| Zip Code | 08901-2102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770122624 | Jessica Szabo | Counselor | 104 Bayard St, New Brunswick, NJ 08901-2389 | 2019-12-24 |
| 1306489000 | Samantha N Sweeney | Social Worker | 104 Bayard St, New Brunswick, NJ 08901-2389 | 2019-10-25 |
| 1053971572 | Middlesex Psychiatry & Tms, PC | Clinic/Center | 104 Bayard St, New Brunswick, NJ 08901-2389 | 2019-06-17 |
| 1558829952 | Joshua Baradale Collins | Social Worker | 104 Bayard St, New Brunswick, NJ 08901-2389 | 2019-03-05 |
| 1942711130 | Jesse Wayland Adams II | Social Worker | 104 Bayard St, New Brunswick, NJ 08901-2389 | 2017-10-16 |
| 1275066466 | Lisa Marie Pyryt | Counselor | 104 Bayard St, New Brunswick, NJ 08901-2389 | 2017-04-05 |
| 1962935130 | Michele Scasserra | Social Worker | 104 Bayard St, New Brunswick, NJ 08901-2389 | 2017-04-05 |
| 1326593880 | Kelly Rose Printon | Social Worker | 104 Bayard St, 2nd Floor, New Brunswick, NJ 08901-2389 | 2016-08-24 |
| 1376996009 | College Recovery LLC | Clinical Medical Laboratory | 104 Bayard St, New Brunswick, NJ 08901-2389 | 2016-07-18 |
| 1003267220 | Deepanjali Tiwari | Social Worker | 104 Bayard St, New Brunswick, NJ 08901-2389 | 2016-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083242622 | Daniel Kareem Haddad | Student in an Organized Health Care Education/Training Program | 1 Robert Wood Johnson Place, Meb 422a, New Brunswick, NJ 08901 | 2020-03-30 |
| 1922636588 | Neil Anjan Basumallik | Student in an Organized Health Care Education/Training Program | Rutgers Rwjms, Department of Medicine, 125 Paterson Street. Cab 7300, New Brunswick, NJ 08901 | 2020-03-30 |
| 1922636406 | Naveena Lall | Student in an Organized Health Care Education/Training Program | Rutgers Robert Wood Johnson Internal Medicine Residency, 125 Paterson Street, New Brunswick, NJ 08901 | 2020-03-30 |
| 1801444047 | Swati Vijay Dhobale | Student in an Organized Health Care Education/Training Program | Saint Peter's University Hospital, 254 Easton Avenue, 4th Floor, Cares Room 4014, New Brunswick, NJ 08901 | 2019-08-30 |
| 1962974329 | Lauren Burgstresser | Nurse Practitioner | 181 Somerset Street, 3rd Floor, New Brunswick, NJ 08901 | 2018-12-26 |
| 1851874291 | Damon House Inc. | Substance Abuse Rehabilitation Facility | 105 Joyce Kilmer Ave, New Brunswick, NJ 08901 | 2018-09-12 |
| 1245718204 | Leah Dinardo | Psychologist | 61 Nichol Ave, New Brunswick, NJ 08901 | 2018-08-01 |
| 1730667130 | Keshav Bhandari | Student in an Organized Health Care Education/Training Program | Saint Peters University Hospital, 254 Easton Avenue, 4th Floor Cares, Rm 4014, New Brunswick, NJ 08901 | 2018-07-30 |
| 1942787486 | Mehak Bassi | Student in an Organized Health Care Education/Training Program | 4th Floor Cares, Rm 4014 240 Easton Avenue, New Brunswick, NJ 08901 | 2018-07-27 |
| 1063908754 | Oluwatoba Opeyemi Moninuola | Student in an Organized Health Care Education/Training Program | 4th Floor Cares, Rm 4014, 240 Easton Avenue, New Brunswick, NJ 08901 | 2018-07-05 |
| Find all providers in zip 08901 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
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|---|---|---|---|---|
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| 1801915848 | New Brunswick Counseling Center | Clinic/Center | 320 Suydam St, New Brunswick, NJ 08901-2417 | 2007-03-29 |
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| 1538530456 | The Center for Great Expectations | Clinic/Center | 123 How Ln, New Brunswick, NJ 08901-3653 | 2015-10-19 |
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| 1710504881 | Vimax LLC | Clinic/Center | 6 Cornwall Ct, East Brunswick, NJ 08816-3347 | 2020-07-06 |
| 1588289615 | Camden County Suboxone LLC | Clinic/Center | 8 Somerdale Sq, Somerdale, NJ 08083-1345 | 2020-06-15 |
| 1558905380 | Grace Community Development Center | Clinic/Center | 100 Melville Ln, Willingboro, NJ 08046-2912 | 2019-11-05 |
| 1740822121 | The Empowerment House, Non Profit Inc. | Clinic/Center | 1314 S Clinton Ave, Trenton, NJ 08611-1436 | 2019-10-17 |
| 1265088892 | Absolute Awakenings Treatment Center LLC | Clinic/Center | 3000 Route 10 West, Denville, NJ 07834 | 2019-08-09 |
| 1326607243 | Recovery Zone Solutions, LLC | Clinic/Center | 124 East Main Street, Ste#109, Denville, NJ 07834 | 2019-06-13 |
| 1720644800 | Ars Treatment Centers of New Jersey, PC | Clinic/Center | 4 Murray Grove Ln, Lanoka Harbor, NJ 08734-2837 | 2019-05-14 |
| 1184182230 | Turning Point, Inc. | Clinic/Center | 101 Prospect St Ste 210, Lakewood, NJ 08701-5003 | 2019-03-07 |
| Find all providers with the same taxonomy | ||||
| City | NEW BRUNSWICK |
| Zip Code | 08901 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.