Active NPI
Beachway New Jersey LLC
- Substance Use Disorder Rehabilitation Clinic/Center
- Lawrenceville, NJ
National Provider Identifier
1649972472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- Legal business name
- BEACHWAY NEW JERSEY LLC
- Practice address
- 4 Princess Rd Ste 208
Lawrenceville, NJ 08648-2322 - Phone
- (772) 812-9652
- Fax
- (833) 535-0164
- NPI assigned
- Mar 17, 2023
- Last updated
- Apr 16, 2025
- 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
- Jared Turner
- Title
- Billing Manager
- Phone
- (772) 812-9652
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Primary |
Addresses
Primary practice location
4 Princess Rd Ste 208
Lawrenceville, NJ 08648-2322
Mailing address
1700 N Dixie Hwy
West Palm Beach, FL 33407-6504
Phone (772) 812-9652
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D2289403 | Beachway New Jersey LLC | Certificate of waiver | Sep 10, 2027 |
National Provider Directory
National Provider DirectoryLocations
4 Princess Rd
Lawrenceville, NJ 08648
Phone (609) 462-9531
4 Princess Rd
Ste 208
Lawrenceville, NJ 08648
Phone (609) 468-7922
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679011200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1744761600000",
"number": "1649972472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 N DIXIE HWY",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334076504",
"telephone_number": "772-812-9652",
"fax_number": "833-535-0164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 PRINCESS RD STE 208",
"city": "LAWRENCEVILLE",
"state": "NJ",
"postal_code": "086482322",
"telephone_number": "772-812-9652",
"fax_number": "833-535-0164"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEACHWAY NEW JERSEY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-17",
"last_updated": "2025-04-16",
"certification_date": "2025-04-16",
"status": "A",
"authorized_official_last_name": "TURNER",
"authorized_official_first_name": "JARED",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "772-812-9652"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawrenceville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; 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.