Omnia Treatment Center LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

OMNIA TREATMENT CENTER LLC

Practice address

88 Market St FL 2
Saddle Brook, NJ 07663-4830

Phone

(201) 548-9462

NPI assigned

Aug 13, 2024

Organization subpart

No

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

Authorized official

Name

James Mikhail

Title

Ceo

Phone

(310) 633-1990

Specialties & licenses 2

Addresses

Other names 1

• Ikon Recovery Center Doing business as

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": "1723507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723507200000",
    "number": "1285465906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 MARKET ST FL 2",
            "city": "SADDLE BROOK",
            "state": "NJ",
            "postal_code": "076634830",
            "telephone_number": "201-548-9462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 MARKET ST FL 2",
            "city": "SADDLE BROOK",
            "state": "NJ",
            "postal_code": "076634830",
            "telephone_number": "201-548-9462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNIA TREATMENT CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-13",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A",
        "authorized_official_last_name": "MIKHAIL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-633-1990"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ikon Recovery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pilar Andrea Ortiz, LPN
• Francesco P Pagano, D.O.
• Shailesh Parikh, M.D
• Paris Medical Associates LLC

• Substance Use Disorder Rehabilitation Clinic/Center in Saddle Brook, NJ
• Providers in Saddle Brook, NJ by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.