Legacy Healing North Jersey LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

LEGACY HEALING NORTH JERSEY LLC

Practice address

300 Littleton Rd Ste 200
Parsippany, NJ 07054-4841

Phone

(561) 308-0865

NPI assigned

Jan 31, 2023

Organization subpart

No

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

Authorized official

Name

Ms. Damaris Gonzalez

Title

Director of Operations

Phone

(561) 308-0865

Specialties & licenses 2

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

Locations

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

{
    "created_epoch": "1675123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675123200000",
    "number": "1255037487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 W CYPRESS CREEK RD STE 200&201",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091916",
            "telephone_number": "561-308-0865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 LITTLETON RD STE 200",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070544841",
            "telephone_number": "561-308-0865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY HEALING NORTH JERSEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-31",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "DAMARIS",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "561-308-0865",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hyeme Lee
• Kareen Lee
• Scott Hyeonho Lee
• Serena Qiqin Lee, M.D.
• Stuart Michael Leeds, PSY.D.
• Justin Michael Lehet, D.O.
• Lawrence S Leibowitz, DPM
• Alyson Terese Leloia, DPT
• Jennifer Karen Lenci, LCSW
• Melissa Yibersi Leonardo

• Substance Abuse Rehabilitation Facility in Parsippany, NJ
• Providers in Parsippany, 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 Jan 31, 2023; 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.