Avatar Recovery Center Inc

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

AVATAR RECOVERY CENTER INC

Practice address

1140 Greenwood Lake Tpke
Ringwood, NJ 07456-1420

Phone

(973) 774-7222

NPI assigned

Sep 6, 2023

Last updated

May 2, 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

Pinal Patel

Title

Ceo

Phone

(973) 464-5062

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": "1693958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746144000000",
    "number": "1457137358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 GREENWOOD LAKE TPKE",
            "city": "RINGWOOD",
            "state": "NJ",
            "postal_code": "074561420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 GREENWOOD LAKE TPKE",
            "city": "RINGWOOD",
            "state": "NJ",
            "postal_code": "074561420",
            "telephone_number": "973-774-7222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVATAR RECOVERY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-06",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PINAL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "973-464-5062"
    },
    "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": []
}

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• Patricia Diane Bahoosh-Binko, COTA
• Dominik Baran, RPH
• Stephanie N Baumgartner, LCSW
• Frank Elliott Blum, DC

• Substance Use Disorder Rehabilitation Clinic/Center in Ringwood, NJ
• Providers in Ringwood, 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 May 2, 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.