Another Door Opens Recovery Center
Organization Active NPI Substance Use Disorder Rehabilitation Clinic/Center · Ewing, NJ
NPI 1669736757 · NPPES record last updated Jan 16, 2025
Key facts
- NPI
- 1669736757
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
- License
- 200043812 (NJ)
- Legal business name
- ANOTHER DOOR OPENS RECOVERY CENTER
- Practice address
- 1230 Parkway Ave Ste 105
Ewing, NJ 08628-3018 - Phone
- (609) 393-1219
- Fax
- (609) 393-1246
- NPI assigned
- Jul 3, 2012
- Organization subpart
- No
Authorized official
- Name
- Mrs. Reja Booker
- Title
- Coo
- Phone
- (856) 912-0651
Practitioners 1
-
Aditya Radhakrishnan, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180504002107 | NJ | Part B Supplier - Clinic/Group Practice | 4981968609 |
Receives reassigned benefits from 1 practitioner Practice locations: Ewing, NJ |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | 200043812 | NJ | |
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | 200043812 | NJ | Yes |
| Substance Abuse Rehabilitation Facility | 324500000X |
Addresses
Primary practice location
1230 Parkway Ave Ste 105
Ewing, NJ 08628-3018
Mailing address
700 S Clinton Ave
Trenton, NJ 08611-1916
Phone (609) 393-1219
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0305456 | Medicaid | NJ |
Other providers in Ewing, NJ
- Allies, Inc.
- Allies, Inc.
- Tyler-Ann Amamgbo
- Puja Amin
- Another Door Opens Recovery Center
- Another Door Opens Recovery LLC
- Hardi Antala
- Kashif Syed Anwar
- Apex Dental Care, LLC
- Arc Mercer, Inc
All providers in Ewing, NJ · Substance Use Disorder Rehabilitation Clinic/Center in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 16, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.