JOHN BROOKS RECOVERY CENTER , A NEW JERSEY NONPROFIT CORPORATION (NPI# 1902425077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902425077 |
| Entity Type | Organization |
| Organization Name | JOHN BROOKS RECOVERY CENTER , A NEW JERSEY NONPROFIT CORPORATION |
| Practice Address |
660 Black Horse Pike Pleasantville NJ 08232-2360 |
| Practice Telephone | 6093452020 |
| Mailing Telephone | 6093452020 |
| Enumeration Date | 2020-04-09 |
| Last Update Date | 2020-04-09 |
| Authorized Official Name | EDWARD JOHN PALLIES (CFO) |
| Authorized Official Telephone | 6093452020 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | STATE OF NJ PRIMARY CARE LICENSE | 25175 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790308708 | John Brooks Recovery Center, A New Jersey Nonprofit Corporation | Substance Abuse Rehabilitation Facility | 1455 Pinewood Blvd, Mays Landing, NJ 08330 | 2020-05-26 |
| 1174649685 | John Brooks Recovery Center, A New Jersey Nonprofit Corporation | Substance Abuse Rehabilitation Facility | 660 Black Horse Pike, Pleasantville, NJ 08232 | 2007-03-22 |
| 1154870160 | John Brooks Recovery Center, A New Jersey Nonprofit Corporation | Clinic/Center | 660 Black Horse Pike, Pleasantville, NJ 08232 | 2016-10-03 |
| Street Address |
660 BLACK HORSE PIKE |
| City | PLEASANTVILLE |
| State | NJ |
| Zip Code | 08232-2360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174649685 | John Brooks Recovery Center, A New Jersey Nonprofit Corporation | Substance Abuse Rehabilitation Facility | 660 Black Horse Pike, Pleasantville, NJ 08232 | 2007-03-22 |
| 1154870160 | John Brooks Recovery Center, A New Jersey Nonprofit Corporation | Clinic/Center | 660 Black Horse Pike, Pleasantville, NJ 08232 | 2016-10-03 |
| 1053860130 | John Brooks Recovery Center | Clinic/Center | 660 Black Horse Pike, Pleasantville, NJ 08232 | 2016-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538533088 | Caringhouse Projects, Inc | Respite Care | 411b West Delilah Road, Pleasantville, NJ 08232 | 2015-11-20 |
| 1295108249 | Caringhouse Projects, Inc | Respite Care | 700 Franklin Blvd, Apt 601, Pleasantville, NJ 08232 | 2015-11-12 |
| 1205209251 | Caringhouse Projects, Inc | Respite Care | 411a West Delilah Road, Pleasantville, NJ 08232 | 2015-11-12 |
| 1215368568 | Priority Care Transport LLC | Non-emergency Medical Transport (VAN) | 590 W. Delilah Rd, Pleasantville, NJ 08232 | 2013-12-11 |
| 1053601773 | Bhavesh C Bhatt | Pharmacist | 855 North Main Street, Rite Aid Pharmacy, Pleasantville, NJ 08232 | 2011-04-14 |
| 1407158694 | Tricare Medical Transportation, LLC | Ambulance | 825 Noahs Road, Pleasantville, NJ 08232 | 2010-11-22 |
| 1174833495 | Laverne Graves-washington | Registered Nurse | 268 North New Rd., Pleasantville, NJ 08232 | 2010-10-20 |
| 1619284429 | Bhakti Chaudhari | Pharmacist | 855-857 North Main Street, Rite Aid Pharmacy, Pleasantville, NJ 08232 | 2010-09-01 |
| 1013222546 | Pradip N Agrawal | Pharmacist | 505 Black Horse Pike, Pleasantville, NJ 08232 | 2010-08-09 |
| 1144533845 | Arnold Snyder | Pharmacist | 505 Blackhorse Pk, Pleasantville, NJ 08232 | 2010-07-22 |
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| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| City | PLEASANTVILLE |
| Zip Code | 08232 |
Please comment or provide details below to improve the information on JOHN BROOKS RECOVERY CENTER , A NEW JERSEY NONPROFIT CORPORATION.
| 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.