Organization Active NPI

Rebirth Recovery Center

  • Substance Abuse Rehabilitation Facility
  • Neptune City, NJ
National Provider Identifier
1629826706
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
REBIRTH RECOVERY CENTER
Practice address
2100 State Route 33 Ste 6
Neptune City, NJ 07753-6116
Phone
(732) 724-0949
NPI assigned
May 13, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Authorized official

Name
Nick Kratzer
Title
Cmo
Phone
(732) 724-0949

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

2100 State Route 33 Ste 6
Neptune City, NJ 07753-6116

Mailing address

2100 State Route 33 Ste 6
Neptune City, NJ 07753-6116

National Provider Directory

National Provider Directory

Locations

2100 State Route 33
Ste 6
Neptune City, NJ 07753
Phone (732) 724-0949

NPI Registry JSON

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

{
    "created_epoch": "1715558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715558400000",
    "number": "1629826706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 STATE ROUTE 33 STE 6",
            "city": "NEPTUNE CITY",
            "state": "NJ",
            "postal_code": "077536116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 STATE ROUTE 33 STE 6",
            "city": "NEPTUNE CITY",
            "state": "NJ",
            "postal_code": "077536116",
            "telephone_number": "732-724-0949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBIRTH RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-13",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A",
        "authorized_official_last_name": "KRATZER",
        "authorized_official_first_name": "NICK",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "732-724-0949"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "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 Neptune City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; 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.