Organization Active NPI

South Jersey Recovery Center LLC

  • Substance Abuse Rehabilitation Facility
  • Sewell, NJ
National Provider Identifier
1104762723
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
SOUTH JERSEY RECOVERY CENTER LLC
Practice address
432 Ganttown Rd Ste 201
Sewell, NJ 08080-1896
Phone
(609) 509-9533
NPI assigned
Apr 27, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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

Authorized official

Name
Robert Salmons
Title
Manager
Phone
(609) 509-9533

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

432 Ganttown Rd Ste 201
Sewell, NJ 08080-1896

Mailing address

432 Ganttown Rd Ste 201
Sewell, NJ 08080-1896

National Provider Directory

National Provider Directory

Locations

432 Ganttown Rd
Ste 201
Sewell, NJ 08080
Phone (609) 509-9533

NPI Registry JSON

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

{
    "created_epoch": "1777248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777248000000",
    "number": "1104762723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 GANTTOWN RD STE 201",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080801896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 GANTTOWN RD STE 201",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080801896",
            "telephone_number": "609-509-9533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH JERSEY RECOVERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-27",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A",
        "authorized_official_last_name": "SALMONS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "609-509-9533"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sewell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.