Behavioral Crossroads Recovery LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

BEHAVIORAL CROSSROADS RECOVERY LLC

Practice address

205 West Parkway Drive
Suite 2
Egg Harbor Township, NJ 08234

Phone

(609) 645-2500

Fax

(609) 642-4373

NPI assigned

Oct 14, 2010

Last updated

Apr 6, 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

Mr. Yisroel Shlomo Greenzweig

Title

Ceo

Phone

(609) 645-2500

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Tax ID family

Behavioral Crossroads Recovery LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Behavioral Crossroads Recovery, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Turnersville, NJ
  • NPI 1205278884
  NPD tax ID

Locations

Practitioners 4

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.

• Rita Gagliardi, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Egg Harbor Township, NJ
  • NPI 1962162602
  Medicare reassignment NPD
• Tzivya Kownat, N.P.

  • Psychiatric/Mental Health Nurse Practitioner
  • Lakewood, NJ
  • NPI 1992077630
  Medicare reassignment NPD
• Ashira Lasdun, APN-C

  • Nurse Practitioner
  • Lakewood, NJ
  • NPI 1467727008
  Medicare reassignment NPD
• Lori McCline, LCADC

  • Addiction (Substance Use Disorder) Counselor
  • Egg Harbor Township, NJ
  • NPI 1316620271
  Medicare reassignment NPD

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

{
    "created_epoch": "1287014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680739200000",
    "number": "1578873386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 WEST PARKWAY DRIVE",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "08234",
            "telephone_number": "609-645-2500",
            "fax_number": "609-642-4373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 WEST PARKWAY DRIVE",
            "address_2": "SUITE 2",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "08234",
            "telephone_number": "609-645-2500",
            "fax_number": "609-642-4373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL CROSSROADS RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-14",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A",
        "authorized_official_last_name": "GREENZWEIG",
        "authorized_official_first_name": "YISROEL",
        "authorized_official_middle_name": "SHLOMO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "609-645-2500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0246093",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bayada Home Health Care, Inc.
• Bayada Home Health Care, Inc.
• Erica Bayanov, CNA
• Francena Bazemore
• Daniel Bazylewicz, MD
• Behavioral Crossroads, LLC (Crossroads Partial Care Program)
• Allen Beier
• Allison Bellino, APN
• Britney Jane Bennett, RBT
• Blair Alexander Bergen, MD

• Substance Use Disorder Rehabilitation Clinic/Center in Egg Harbor Township, NJ
• Providers in Egg Harbor Township, 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 Apr 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.