Active NPI
NS Recovery Services LLC
- Substance Use Disorder Rehabilitation Clinic/Center
- Medford, MA
National Provider Identifier
1659145233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- Legal business name
- NS RECOVERY SERVICES LLC
- Doing business as
- Advanced Addiction Center
- Practice address
- 200 Boston Ave # G100
Medford, MA 02155-4243 - Phone
- (781) 654-1112
- NPI assigned
- Nov 14, 2023
- 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
- Joey Simonelli
- Title
- Ceo
- Phone
- (781) 654-1112
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Primary |
Addresses
Primary practice location
200 Boston Ave # G100
Medford, MA 02155-4243
Mailing address
200 Boston Ave # G100
Medford, MA 02155-4243
Other names 1
- Advanced Addiction Center
National Provider Directory
National Provider DirectoryLocations
196 Boston Ave
Medford, MA 02155
Phone (857) 355-1770
200 Boston Ave
#G100
Medford, MA 02155
Phone (781) 654-1112
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699920000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757980800000",
"number": "1659145233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 BOSTON AVE # G100",
"city": "MEDFORD",
"state": "MA",
"postal_code": "021554243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 BOSTON AVE # G100",
"city": "MEDFORD",
"state": "MA",
"postal_code": "021554243",
"telephone_number": "781-654-1112"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NS RECOVERY SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-14",
"last_updated": "2025-09-16",
"certification_date": "2025-09-16",
"status": "A",
"authorized_official_last_name": "SIMONELLI",
"authorized_official_first_name": "JOEY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "781-654-1112"
},
"taxonomies": [
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Advanced Addiction Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Medford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.