Organization Active NPI

Advanced Raw Associates LLC

  • Addiction (Substance Use Disorder) Counselor
  • Florham Park, NJ
National Provider Identifier
1619752201
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
ADVANCED RAW ASSOCIATES LLC
Practice address
205 Ridgedale Ave Ste 200
Florham Park, NJ 07932-1349
Phone
(732) 231-5180
Fax
(732) 231-5189
NPI assigned
Aug 30, 2023
Last updated
Aug 30, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
NJ RECOVERY & WELLNESS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Authorized official

Name
Mr. Paul R Lavella Jr., MA, LPC, LCADCNPI 1982041968
Title
Founder Director
Phone
(732) 407-2653

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
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X Primary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X

Addresses

Primary practice location

205 Ridgedale Ave Ste 200
Florham Park, NJ 07932-1349

Mailing address

205 Ridgedale Ave Ste 200
Florham Park, NJ 07932-1349
Phone (732) 231-5180

Other practice location 1

1930 Marlton Pike E Ste E27
Cherry Hill, NJ 08003-4101
Phone (732) 231-5180

National Provider Directory

National Provider Directory
Part of
NJ Recovery Wellness LLC

Locations

205 Ridgedale Ave
Ste 200
Florham Park, NJ 07932
Phone (732) 231-5180

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1693353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693353600000",
    "number": "1619752201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 RIDGEDALE AVE STE 200",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321349",
            "telephone_number": "732-231-5180",
            "fax_number": "732-231-5189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 RIDGEDALE AVE STE 200",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321349",
            "telephone_number": "732-231-5180",
            "fax_number": "732-231-5189"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1930 Marlton Pike E Ste E27",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080034101",
            "country_code": "US",
            "telephone_number": "732-231-5180",
            "fax_number": "732-231-5189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADVANCED RAW ASSOCIATES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NJ RECOVERY & WELLNESS, LLC",
        "enumeration_date": "2023-08-30",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A",
        "authorized_official_last_name": "LAVELLA",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "FOUNDER DIRECTOR",
        "authorized_official_telephone_number": "732-407-2653",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MA, LPC, LCADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florham Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.