Active NPI
Garden State Treatment Center LLC
- Substance Abuse Rehabilitation Facility
- Sparta, NJ
National Provider Identifier
1548751258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- GARDEN STATE TREATMENT CENTER LLC
- Practice address
- 350 Sparta Ave Ste a-201
Sparta, NJ 07871 - Phone
- (561) 818-9901
- Fax
- (954) 372-6992
- NPI assigned
- May 29, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jesse M Reuter
- Title
- Ceo
- Phone
- (561) 818-9901
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | |||
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
350 Sparta Ave Ste a-201
Sparta, NJ 07871
Mailing address
270 Sparta Ave Ste 104
Sparta, NJ 07871-1122
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527552000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1640131200000",
"number": "1548751258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "270 SPARTA AVE STE 104",
"city": "SPARTA",
"state": "NJ",
"postal_code": "078711122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 SPARTA AVE STE A-201",
"city": "SPARTA",
"state": "NJ",
"postal_code": "07871",
"telephone_number": "561-818-9901",
"fax_number": "954-372-6992"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GARDEN STATE TREATMENT CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-05-29",
"last_updated": "2021-12-22",
"certification_date": "2021-12-22",
"status": "A",
"authorized_official_last_name": "REUTER",
"authorized_official_first_name": "JESSE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "561-818-9901"
},
"taxonomies": [
{
"code": "2084A0401X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sparta, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.