NPIMap

Organization Active NPI

Overcome Wellness & Recovery

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Lakewood, NJ
National Provider Identifier
1770051484
Registry record updated May 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
OVERCOME WELLNESS & RECOVERY
Practice address
101 Prospect St Ste 210
Lakewood, NJ 08701-5003
Phone
(732) 505-7633
NPI assigned
Nov 12, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2023

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

Authorized official

Name
Mr. Alex Kushnir
Title
Ceo
Phone
(732) 505-7633

Specialties & licenses 1

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

Addresses

Primary practice location

101 Prospect St Ste 210
Lakewood, NJ 08701-5003

Mailing address

205 W Parkway Dr
Egg Harbor Township, NJ 08234-5105
Phone (732) 505-7633

Other identifiers 1

IdentifierTypeStateIssuer
2000913OtherNJSTATE OF N E W JERSEY DEPARTMENT OF HEALTH DIVISION OF CERTIFICATE OF NEED& LICE

Other names 1

  • Overcome Wellness & Recovery Other name

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL info@overcomenj.com Direct
Direct Messaging Address info@overcomenj.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250522000627 NJ Part B Supplier - Clinic/Group Practice 2567981624 Receives reassigned benefits from 4 practitioners
Practice locations: Lakewood, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1541980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683244800000",
    "number": "1770051484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 W PARKWAY DR",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082345105",
            "telephone_number": "732-505-7633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PROSPECT ST STE 210",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015003",
            "telephone_number": "732-505-7633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OVERCOME WELLNESS & RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-12",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A",
        "authorized_official_last_name": "KUSHNIR",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "732-505-7633",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF N E W JERSEY DEPARTMENT OF HEALTH DIVISION OF CERTIFICATE OF NEED& LICE",
            "identifier": "2000913",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@overcomenj.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "101 Prospect St Ste 210",
            "city": "Lakewood",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "087015003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@overcomenj.com",
            "affiliation": "N",
            "endpointDescription": "Web adress",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "101 Prospect St Ste 210",
            "city": "Lakewood",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "087015003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Overcome Wellness & Recovery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Overcome Wellness & Recovery",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Overcome Wellness & Recovery",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Overcome Wellness & Recovery",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lakewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.