Organization Active NPI

Summit at Florham Park, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Florham Park, NJ
National Provider Identifier
1699165084
Registry record updated Jan 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
2000536 Issued in NJ
Legal business name
SUMMIT AT FLORHAM PARK, LLC
Practice address
256 Columbia Tpke
100N
Florham Park, NJ 07932-1209
Phone
(973) 593-0090
NPI assigned
Jan 23, 2015
Last updated
Jan 29, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2015

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

Authorized official

Name
Thomas Allen
Title
MBR
Phone
(609) 651-4001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 2000536 NJ Primary

Addresses

Primary practice location

256 Columbia Tpke
100N
Florham Park, NJ 07932-1209

Mailing address

256 Columbia Tpke
100N
Florham Park, NJ 07932-1209

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1421971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422489600000",
    "number": "1699165084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 COLUMBIA TPKE",
            "address_2": "100N",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 COLUMBIA TPKE",
            "address_2": "100N",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321209",
            "telephone_number": "973-593-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT AT FLORHAM PARK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-23",
        "last_updated": "2015-01-29",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "MBR",
        "authorized_official_telephone_number": "609-651-4001"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NJ",
            "license": "2000536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florham Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2015; 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.