Organization Active NPI

Union Fresh Start, LLC

  • Substance Abuse Rehabilitation Facility
  • Union, NJ
National Provider Identifier
1790190965
Registry record updated Jun 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
UNION FRESH START, LLC
Practice address
1000 Galloping Hill Rd
Union, NJ 07083-7989
Phone
(609) 651-4001
NPI assigned
Jun 26, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2014

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

Authorized official

Name
Kristina Borzio
Title
Staff Member
Phone
(609) 651-4001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X NJ Primary

Addresses

Primary practice location

1000 Galloping Hill Rd
Union, NJ 07083-7989

Mailing address

1000 Galloping Hill Rd
Union, NJ 07083-7989

Other names 1

  • Serenity at Summit Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1403740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403740800000",
    "number": "1790190965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 GALLOPING HILL RD",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070837989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 GALLOPING HILL RD",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070837989",
            "telephone_number": "609-651-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION FRESH START, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-26",
        "last_updated": "2014-06-26",
        "status": "A",
        "authorized_official_last_name": "BORZIO",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "STAFF MEMBER",
        "authorized_official_telephone_number": "609-651-4001"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity at Summit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Union, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2014; 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.