Organization Active NPI

Garden State Detox LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Newton, NJ
National Provider Identifier
1023687563
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
GARDEN STATE DETOX LLC
Practice address
75 Sparta Ave
Newton, NJ 07860-2440
Phone
(561) 818-9901
NPI assigned
Jun 19, 2021
Last updated
Feb 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Kara Quinn
Title
Billing Director
Phone
(561) 818-9901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

75 Sparta Ave
Newton, NJ 07860-2440

Mailing address

7050 W Palmetto Park Road
Suite 15 #181
Boca Raton, FL 33433
Phone (561) 818-9901

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2194324Garden State Detox LLC75 Sparta Avenue, Newton, NJ 07860Certificate of waiverSep 29, 2026

National Provider Directory

National Provider Directory

Locations

75 Sparta Ave
Newton, NJ 07860

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1624060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738627200000",
    "number": "1023687563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7050 W PALMETTO PARK ROAD",
            "address_2": "SUITE 15 #181",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33433",
            "telephone_number": "561-818-9901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 SPARTA AVE",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078602440",
            "telephone_number": "561-818-9901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN STATE DETOX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-19",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A",
        "authorized_official_last_name": "QUINN",
        "authorized_official_first_name": "KARA",
        "authorized_official_title_or_position": "BILLING DIRECTOR",
        "authorized_official_telephone_number": "561-818-9901",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.