Red Oak Centers, LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

2000517-11 Issued in NJ

Legal business name

RED OAK CENTERS, LLC

Practice address

1 Sears Dr
Unit # 405
Paramus, NJ 07652-3515

Phone

(862) 414-2224

Fax

(201) 815-2535

NPI assigned

Mar 11, 2013

Organization subpart

No

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

Authorized official

Name

Emil P Iftode

Title

Director

Phone

(862) 414-2224

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1362960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461110400000",
    "number": "1588905947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SEARS DR",
            "address_2": "UNIT # 405",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076523515",
            "telephone_number": "862-414-2224",
            "fax_number": "201-815-2535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SEARS DR",
            "address_2": "UNIT # 405",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076523515",
            "telephone_number": "862-414-2224",
            "fax_number": "201-815-2535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED OAK CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-11",
        "last_updated": "2016-04-20",
        "status": "A",
        "authorized_official_last_name": "IFTODE",
        "authorized_official_first_name": "EMIL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "862-414-2224"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NJ",
            "license": "2000517-11",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Rayappa
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• Ruben B. Razon, R.N.
• Readyscrip LLC
• Leslie Joy Rebarber, CNM
• Srikanth Madadi Reddy, M.D
• Paulina Reiban Khanna, DC
• Jennifer Reid, LCSW
• Andrea Jill Rein, APN
• Emma Reininga

• Substance Use Disorder Rehabilitation Clinic/Center in Paramus, NJ
• Providers in Paramus, 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 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.