JV Serenity NJ LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

JV SERENITY NJ LLC

Practice address

1000 Galloping Hill Rd
Union, NJ 07083-7989

Phone

(855) 219-1877

Fax

(954) 337-6238

NPI assigned

Jun 2, 2023

Last updated

Sep 13, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Deja Gilbert, PHD, LMHC, LPC

Title

Ceo

Phone

(855) 219-1877

Specialties & licenses 1

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": "1685664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694563200000",
    "number": "1326731498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31297",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336313297",
            "telephone_number": "855-219-1877",
            "fax_number": "954-337-6238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 GALLOPING HILL RD",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070837989",
            "telephone_number": "855-219-1877",
            "fax_number": "954-337-6238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JV SERENITY NJ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-02",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A",
        "authorized_official_last_name": "GILBERT",
        "authorized_official_first_name": "DEJA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "855-219-1877",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LMHC, LPC"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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