Great Eastern Behavioral Health Partners, LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

GREAT EASTERN BEHAVIORAL HEALTH PARTNERS, LLC

Doing business as

New Life Recovery Center

Practice address

390 Main Rd
Montville, NJ 07045-9820

Phone

(973) 728-7788

Fax

(973) 728-7410

NPI assigned

Feb 20, 2018

Last updated

Jan 10, 2024By 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

Umberto Baldassarra, BA

Title

Executive Director

Phone

(973) 728-7788

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• New Life Recovery Center Doing business as

Locations

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

{
    "created_epoch": "1519084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704844800000",
    "number": "1881194520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 MAIN RD",
            "city": "MONTVILLE",
            "state": "NJ",
            "postal_code": "070459820",
            "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": "390 MAIN RD",
            "city": "MONTVILLE",
            "state": "NJ",
            "postal_code": "070459820",
            "telephone_number": "973-728-7788",
            "fax_number": "973-728-7410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT EASTERN BEHAVIORAL HEALTH PARTNERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-20",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A",
        "authorized_official_last_name": "BALDASSARRA",
        "authorized_official_first_name": "UMBERTO",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "973-728-7788",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0614424",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Life Recovery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robyn Lynn Giordano, LCSW, CADDCT
• Janet Gitterman, L.C.S.W.
• Joseph Giudice, PSY.D.
• Cory Alan Golloub, M.D.
• Jillian C Gradzki, MS CF- SLP
• Nina G Grinshpun, DPT
• Toni Durino Groelly, L.AC
• Elizabeth Guida, RPH
• Shibani Gupta, OTR
• Stacy Rebecca Gurbarg, DDS

• Substance Use Disorder Rehabilitation Clinic/Center in Montville, NJ
• Providers in Montville, 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 Jan 10, 2024; 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.