Organization Active NPI

Lost Souls Recovery, LLC

Doing business as New Beginnings Clementon

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Clementon, NJ
National Provider Identifier
1225920408
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X
Legal business name
LOST SOULS RECOVERY, LLC
Doing business as
New Beginnings Clementon
Practice address
130 White Horse Pike
Clementon, NJ 08021-4159
Phone
(570) 622-9101
Fax
(570) 622-9102
NPI assigned
Jul 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Authorized official

Name
Nadeem Bashir
Title
Ceo
Phone
(570) 622-9101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084A0401X Primary

Addresses

Primary practice location

130 White Horse Pike
Clementon, NJ 08021-4159

Mailing address

130 White Horse Pike
Clementon, NJ 08021-4159
Phone (570) 622-9101

Other names 1

  • New Beginnings Clementon Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1753056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753056000000",
    "number": "1225920408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 WHITE HORSE PIKE",
            "city": "CLEMENTON",
            "state": "NJ",
            "postal_code": "080214159",
            "telephone_number": "570-622-9101",
            "fax_number": "570-622-9102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 WHITE HORSE PIKE",
            "city": "CLEMENTON",
            "state": "NJ",
            "postal_code": "080214159",
            "telephone_number": "570-622-9101",
            "fax_number": "570-622-9102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOST SOULS RECOVERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-21",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A",
        "authorized_official_last_name": "BASHIR",
        "authorized_official_first_name": "NADEEM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "570-622-9101"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Beginnings Clementon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clementon, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; 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.