Organization Active NPI

NJ Detox LLC

  • Substance Abuse Rehabilitation Facility
  • Englewood, NJ
National Provider Identifier
1609756709
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
NJ DETOX LLC
Practice address
255 Humphrey St
Englewood, NJ 07631-4013
Phone
(201) 801-4497
NPI assigned
Sep 8, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Authorized official

Name
Christopher Ferry
Title
President
Phone
(201) 801-4497

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

255 Humphrey St
Englewood, NJ 07631-4013

Mailing address

255 Humphrey St
Englewood, NJ 07631-4013
Phone (201) 801-4497

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2334786NJ Detox, LLC255 Humphrey Street, Englewood, NJ 07631Certificate of waiverDec 1, 2027

National Provider Directory

National Provider Directory

Locations

255 Humphrey St
Englewood, NJ 07631
Phone (201) 801-4497

NPI Registry JSON

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

{
    "created_epoch": "1757289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757289600000",
    "number": "1609756709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 HUMPHREY ST",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314013",
            "telephone_number": "201-801-4497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 HUMPHREY ST",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314013",
            "telephone_number": "201-801-4497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NJ DETOX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-08",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A",
        "authorized_official_last_name": "FERRY",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-801-4497"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.