Organization Active NPI

Reprieve Recovery Center LLC

  • Substance Abuse Rehabilitation Facility
  • Ewing, NJ
National Provider Identifier
1669284972
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
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

Updated by the provider on Feb 21, 2025

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)CodeLicenseStatePrimary
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2320041Reprieve Recovery Center20 Scotch Rd, Ewing, NJ 08628Certificate of waiverMar 10, 2027

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.