Shore Break Recovery

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

SHORE BREAK RECOVERY

Practice address

6 Chestnut St Unit 9
Somers Point, NJ 08244-1125

Phone

(609) 709-0244

NPI assigned

Apr 26, 2021

Last updated

Oct 23, 2025By 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

Ian Koch, LCADC

Title

Ceo

Phone

(609) 709-0244

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dan Miranda, MS, LCADC, CCS

  • Addiction (Substance Use Disorder) Counselor
  • Stafford Township, NJ
  • NPI 1740943539
  NPD

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

{
    "created_epoch": "1619395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761177600000",
    "number": "1407438823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 E SEAVIEW AVE",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082212139",
            "telephone_number": "609-709-0244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 CHESTNUT ST UNIT 9",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082441125",
            "telephone_number": "609-709-0244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1322 Route 72 W Ste 202",
            "address_purpose": "LOCATION",
            "city": "Manahawkin",
            "state": "NJ",
            "postal_code": "080502486",
            "country_code": "US",
            "telephone_number": "609-752-3429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SHORE BREAK RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-26",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A",
        "authorized_official_last_name": "KOCH",
        "authorized_official_first_name": "IAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "609-709-0244",
        "authorized_official_credential": "LCADC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martin Senese, DO
• Brian D Senn, M.S.P.T
• Coleen Marie Serzanin, RN, MSN, PMHNP-BC
• Arlene Shockley
• Shore Ambulatory Surgical Center, LLC
• Shore Cardiology Associates PA
• Shore Family Medicine Ass
• Shore Health Services Corporation (Ocean Point Health Care Center)
• Shore Heart Consultants LLC
• Shore Hospitalists Associates PA

• Adult Mental Health Clinic/Center in Somers Point, NJ
• Providers in Somers Point, NJ by specialty
• Adult Mental Health Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; 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.