New Life Recovery Center,Inc

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

22773 Issued in NJ

Legal business name

NEW LIFE RECOVERY CENTER,INC

Practice address

23 Colfax Ave
Pompton Lakes, NJ 07442-1709

Phone

(973) 728-7788

Fax

(973) 728-7410

NPI assigned

Jan 24, 2007

Last updated

Mar 17, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Eugene McLaughlin, M.A.

Title

Director

Phone

(973) 728-7788

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary Cizi

  • Addiction (Substance Use Disorder) Counselor
  • West Milford, NJ
  • NPI 1255792032
  NPD (past)

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1689729444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 COLFAX AVENUE",
            "city": "POMPTON LAKES",
            "state": "NJ",
            "postal_code": "074421709",
            "telephone_number": "973-728-7788",
            "fax_number": "973-728-7410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 COLFAX AVE",
            "city": "POMPTON LAKES",
            "state": "NJ",
            "postal_code": "074421709",
            "telephone_number": "973-728-7788",
            "fax_number": "973-728-7410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1810 Macopin Rd",
            "address_purpose": "LOCATION",
            "city": "West Milford",
            "state": "NJ",
            "postal_code": "074801810",
            "country_code": "US",
            "telephone_number": "973-728-7788",
            "fax_number": "973-728-7410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEW LIFE RECOVERY CENTER,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "MCLAUGHLIN",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "973-728-7788",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NJ",
            "license": "22773",
            "primary": true
        },
        {
            "code": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8078700",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Substance Use Disorder Rehabilitation Clinic/Center in Pompton Lakes, NJ
• Providers in Pompton Lakes, NJ by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.