NPIMap

Organization Active NPI

John Brooks Recovery Center

  • Children's Substance Abuse Rehabilitation Facility
  • Mays Landing, NJ
National Provider Identifier
1659085645
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X
Legal business name
JOHN BROOKS RECOVERY CENTER
Practice address
1455 Pinewood Blvd
Mays Landing, NJ 08330-2068
Phone
(609) 345-2020
NPI assigned
Jan 13, 2023
Last updated
Jan 17, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
ATLANTICARE HEALTH SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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

Authorized official

Name
Sharon D Snellbaker
Title
Billing Supervisor
Phone
(609) 457-0467

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Children's Substance Abuse Rehabilitation Facility 3245S0500X Primary

Addresses

Primary practice location

1455 Pinewood Blvd
Mays Landing, NJ 08330-2068

Mailing address

1455 Pinewood Blvd
Mays Landing, NJ 08330-2068
Phone (609) 345-2020

Other identifiers 1

IdentifierTypeStateIssuer
0881058MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
John Brooks Recovery Center12 organizations share this tax ID, including this one
Part of
Atlanticare Health SVCS Inc

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1455 Pinewood Blvd
Mays Landing, NJ 08330
Phone (609) 345-0110

NPI Registry JSON

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

{
    "created_epoch": "1673568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673913600000",
    "number": "1659085645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 PINEWOOD BLVD",
            "city": "MAYS LANDING",
            "state": "NJ",
            "postal_code": "083302068",
            "telephone_number": "609-345-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 PINEWOOD BLVD",
            "city": "MAYS LANDING",
            "state": "NJ",
            "postal_code": "083302068",
            "telephone_number": "609-345-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN BROOKS RECOVERY CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ATLANTICARE HEALTH SERVICES, INC.",
        "enumeration_date": "2023-01-13",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A",
        "authorized_official_last_name": "SNELLBAKER",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "609-457-0467"
    },
    "taxonomies": [
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0881058",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mays Landing, NJ

Sources for this page

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