Active NPI
Reprieve Recovery Center LLC
- Substance Abuse Rehabilitation Facility
- Ewing, NJ
National Provider Identifier
1669284972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- REPRIEVE RECOVERY CENTER LLC
- Practice address
- 20 Scotch Rd FL 2
Ewing, NJ 08628-2529 - Phone
- (609) 460-7798
- NPI assigned
- Jan 23, 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
- Jacqueline Alexandra Cook
- Title
- Manager
- Phone
- (717) 503-7696
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
20 Scotch Rd FL 2
Ewing, NJ 08628-2529
Mailing address
4700 N Congress Ave Ste 104
West Palm Beach, FL 33407-3284
Phone (561) 203-5386
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 |
|---|---|---|---|
| 31D2320041 | Reprieve Recovery Center | Certificate of waiver | Mar 10, 2027 |
National Provider Directory
National Provider DirectoryLocations
4700 N Congress Ave
Ste 104
West Palm Beach, FL 33407
Phone (561) 845-2888
20 Scotch Rd
Fl 2
Ewing, NJ 08628
Phone (609) 460-7798
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737590400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740096000000",
"number": "1669284972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4700 N CONGRESS AVE STE 104",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334073284",
"telephone_number": "561-203-5386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 SCOTCH RD FL 2",
"city": "EWING",
"state": "NJ",
"postal_code": "086282529",
"telephone_number": "609-460-7798"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REPRIEVE RECOVERY CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-23",
"last_updated": "2025-02-21",
"certification_date": "2025-02-21",
"status": "A",
"authorized_official_last_name": "COOK",
"authorized_official_first_name": "JACQUELINE",
"authorized_official_middle_name": "ALEXANDRA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "717-503-7696"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ewing, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.