Organization Active NPI

Family Empowerment Recovery Services, LLC

  • Substance Abuse Rehabilitation Facility
  • Galloway, NJ
National Provider Identifier
1619489366
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
FAMILY EMPOWERMENT RECOVERY SERVICES, LLC
Practice address
76 W Jimmie Leeds Rd Ste 402
Galloway, NJ 08205-9400
Phone
(609) 289-5354
NPI assigned
Nov 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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

Authorized official

Name
Gregory Koguc, LPCNPI 1669534996
Title
Ceo
Phone
(609) 289-5354

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

76 W Jimmie Leeds Rd Ste 402
Galloway, NJ 08205-9400

Mailing address

76 W Jimmie Leeds Rd Ste 402
Galloway, NJ 08205-9400
Phone (609) 289-5354

National Provider Directory

National Provider Directory
Tax ID family
Family Empowerment Recovery Services 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.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1509580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757030400000",
    "number": "1619489366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 W JIMMIE LEEDS RD STE 402",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082059400",
            "telephone_number": "609-289-5354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 W JIMMIE LEEDS RD STE 402",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082059400",
            "telephone_number": "609-289-5354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY EMPOWERMENT RECOVERY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-02",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A",
        "authorized_official_last_name": "KOGUC",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "609-289-5354",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "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 Galloway, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; 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.