Organization Active NPI

Restore Health and Wellness Center New Jersey

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Randolph, NJ
National Provider Identifier
1639021587
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
RESTORE HEALTH AND WELLNESS CENTER NEW JERSEY
Practice address
486 NJ-10W
Randolph, NJ 07869-2133
Phone
(954) 641-5366
NPI assigned
Feb 12, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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

Authorized official

Name
Eric Leon
Title
Coo
Phone
(954) 641-5366

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

486 NJ-10W
Randolph, NJ 07869-2133

Mailing address

486 State Route 10
Randolph, NJ 07869-2133
Phone (954) 641-5366

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
31D2335852Restore Health and Wellness New Jersey486 NJ-10 W, Randolph, NJ 07869Certificate of waiverDec 17, 2027

National Provider Directory

National Provider Directory

Locations

486 State Route 10
Randolph, NJ 07869
Phone (914) 649-0707

NPI Registry JSON

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

{
    "created_epoch": "1770854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771286400000",
    "number": "1639021587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "486 STATE ROUTE 10",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078692133",
            "telephone_number": "954-641-5366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "486 NJ-10W",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078692133",
            "telephone_number": "954-641-5366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE HEALTH AND WELLNESS CENTER NEW JERSEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-12",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A",
        "authorized_official_last_name": "LEON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "954-641-5366"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Randolph, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; 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.