Avatar Residential Detox Center Inc

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

AVATAR RESIDENTIAL DETOX CENTER INC

Practice address

2 Morris Rd
Ringwood, NJ 07456-1700

Phone

(973) 464-5062

NPI assigned

Dec 29, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Pinal Patel

Title

Ceo

Phone

(973) 464-5062

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

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

{
    "created_epoch": "1609200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609200000000",
    "number": "1174110761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MORRIS RD",
            "city": "RINGWOOD",
            "state": "NJ",
            "postal_code": "074561700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MORRIS RD",
            "city": "RINGWOOD",
            "state": "NJ",
            "postal_code": "074561700",
            "telephone_number": "973-464-5062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVATAR RESIDENTIAL DETOX CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-29",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PINAL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "973-464-5062",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John S Ando
• Gary Anfang, P.T.
• Penny Ann Applegate, RPH
• Carley Aroldi
• Avatar Recovery Center Inc
• Patricia Diane Bahoosh-Binko, COTA
• Dominik Baran, RPH
• Stephanie N Baumgartner, LCSW
• Frank Elliott Blum, DC
• Borough of Ringwood

• Substance Abuse Rehabilitation Facility in Ringwood, NJ
• Providers in Ringwood, NJ by specialty
• Substance Abuse Rehabilitation Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; 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.