Samba Recovery at Peachtree LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

SAMBA RECOVERY AT PEACHTREE LLC

Practice address

155 Technology Pkwy
Norcross, GA 30092-7002

Phone

(470) 994-1114

Fax

(470) 994-1110

NPI assigned

Feb 1, 2023

Organization subpart

Yes

Parent organization

SAMBA RECOVERY LLCAs reported in NPPES

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

Authorized official

Name

Joshua Bamberger

Title

Ceo

Phone

(732) 642-1610

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1675209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675209600000",
    "number": "1598461550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 CEDARBRIDGE AVE STE 290",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014236",
            "telephone_number": "732-642-1610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 TECHNOLOGY PKWY",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300927002",
            "telephone_number": "470-994-1114",
            "fax_number": "470-994-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMBA RECOVERY AT PEACHTREE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAMBA RECOVERY LLC",
        "enumeration_date": "2023-02-01",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A",
        "authorized_official_last_name": "BAMBERGER",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "732-642-1610"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tony Abraham Saj, PA-C
• Dammer Armando Salazar, DDS
• John Yolman Salinas, MD
• Samba ABA LLC
• Samba Behavioral Health at Peachtree
• Tina Sampat, DMD
• Amitha Sampath, MD
• Lana Samsky, MSW
• William Sanderlin
• Natasha Sanders

• Substance Abuse Rehabilitation Facility in Norcross, GA
• Providers in Norcross, GA by specialty
• Substance Abuse Rehabilitation Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; 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.