Organization Active NPI

The Restoration Center Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Newark, NJ
National Provider Identifier
1306177167
Registry record updated Jan 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
THE RESTORATION CENTER INC.
Practice address
300 S 12TH St
Newark, NJ 07103-1960
Phone
(973) 622-4934
Fax
(973) 622-5820
NPI assigned
Jan 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2010

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

Authorized official

Name
Mr. Tommy Durr, CEO
Title
Chief Executive Officer
Phone
(973) 622-4934

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

300 S 12TH St
Newark, NJ 07103-1960

Mailing address

300 S 12TH St
Newark, NJ 07103-1960
Phone (973) 622-4934

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1263859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263859200000",
    "number": "1306177167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S 12TH ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071031960",
            "telephone_number": "973-622-4934",
            "fax_number": "973-622-5820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S 12TH ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071031960",
            "telephone_number": "973-622-4934",
            "fax_number": "973-622-5820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE RESTORATION CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-19",
        "last_updated": "2010-01-19",
        "status": "A",
        "authorized_official_last_name": "DURR",
        "authorized_official_first_name": "TOMMY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "973-622-4934",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2010; 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.