Leading Edge Recovery Center

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

2000340-10 Issued in NJ

Legal business name

LEADING EDGE RECOVERY CENTER

Practice address

1777 Klockner Rd
Hamilton, NJ 08619-2725

Phone

(561) 577-3174

NPI assigned

Mar 15, 2010

Organization subpart

No

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

Authorized official

Name

Jim Bevell

Title

Ceo

Phone

(877) 537-5372

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1268611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313107200000",
    "number": "1235453689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 KLOCKNER RD",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086192725",
            "telephone_number": "561-577-3174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 KLOCKNER RD",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086192725",
            "telephone_number": "561-577-3174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEADING EDGE RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-15",
        "last_updated": "2011-08-12",
        "status": "A",
        "authorized_official_last_name": "BEVELL",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "877-537-5372"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NJ",
            "license": "2000340-10",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nehali Lathia
• Ankita Modh Lathigra, PA-C
• Robert M Laurente, M.D.
• Allison Rachel Lavene, AU.D.
• Amanda Brooke Lawrence
• Larry A. Lecavalier, M.D.
• Rayshawn Ledet
• Alan J. Lee, PSYD
• Eunchan Lee
• Heather Sophia Lee, LCSW

• Substance Abuse Rehabilitation Facility in Hamilton, NJ
• Providers in Hamilton, 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 Aug 12, 2011; 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.