Princeton Detox and Recovery Center, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

PRINCETON DETOX AND RECOVERY CENTER, LLC

Practice address

4287 US Highway 1
Monmouth Junction, NJ 08852-1902

Phone

(833) 653-3869

NPI assigned

Mar 14, 2019

Last updated

Mar 14, 2019By 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

Mike Rocks

Title

Executive

Phone

(833) 653-3869

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

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.

• Muhammad Farhan Ijaz, MD

  • Internal Medicine Physician
  • Clifton, NJ
  • NPI 1235402967
  NPD (past)

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

{
    "created_epoch": "1552521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552521600000",
    "number": "1740749357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4287 US HIGHWAY 1",
            "city": "MONMOUTH JUNCTION",
            "state": "NJ",
            "postal_code": "088521902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4287 US HIGHWAY 1",
            "city": "MONMOUTH JUNCTION",
            "state": "NJ",
            "postal_code": "088521902",
            "telephone_number": "833-653-3869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCETON DETOX AND RECOVERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-14",
        "last_updated": "2019-03-14",
        "status": "A",
        "authorized_official_last_name": "ROCKS",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "EXECUTIVE",
        "authorized_official_telephone_number": "833-653-3869"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenton Thomas Porter
• Ajinder Prajapati, RN
• Previte Physical Therapy LLC (Previte Performance Physical Therapy)
• Eric M. Previte, PT, DPT
• Prime Home Care LLC
• Princeton Healthcare Affiliated Physicians PC (Princeton Medicine at Monmouth Junction)
• Princeton Medical Home
• Margaret W. Pulicare, OTR
• Jenny Ramirez, MS.ED
• Phyllis D Rasmussen, PHARM.D.

• Substance Abuse Rehabilitation Facility in Monmouth Junction, NJ
• Providers in Monmouth Junction, NJ by specialty
• Substance Abuse Rehabilitation Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2019; 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.