Active NPI
Renew360 Professional Group, LLC
- Addiction Medicine (Internal Medicine) Physician
- Toms River, NJ
National Provider Identifier
1639088073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Internal Medicine) Physician
- Legal business name
- RENEW360 PROFESSIONAL GROUP, LLC
- Practice address
- 1181 Route 37 West
Toms River, NJ 08755-4919 - Phone
- (732) 234-0058
- NPI assigned
- Sep 2, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Adreyanna Harvey, LPC
- Title
- Clinical Director
- Phone
- (732) 234-0058
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | Primary |
Addresses
Primary practice location
1181 Route 37 West
Toms River, NJ 08755-4919
Mailing address
1181 Route 37 West
Toms River, NJ 08755-4919
Phone (732) 234-0058
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788307200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788307200000",
"number": "1639088073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1181 ROUTE 37 WEST",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "087554919",
"telephone_number": "732-234-0058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1181 ROUTE 37 WEST",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "087554919",
"telephone_number": "732-234-0058"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RENEW360 PROFESSIONAL GROUP, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-02",
"last_updated": "2026-09-02",
"certification_date": "2026-09-01",
"status": "A",
"authorized_official_last_name": "HARVEY",
"authorized_official_first_name": "ADREYANNA",
"authorized_official_title_or_position": "CLINICAL DIRECTOR",
"authorized_official_telephone_number": "732-234-0058",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "207RA0401X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Addiction Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Toms River, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.