Organization Active NPI

The Shore Detox LLC

Doing business as Boca Recovery Center

  • Substance Abuse Rehabilitation Facility
  • Galloway, NJ
National Provider Identifier
1891318077
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
THE SHORE DETOX LLC
Doing business as
Boca Recovery Center
Practice address
30 W Jimmie Leeds Rd
Galloway, NJ 08205-9421
Phone
(609) 798-7596
Fax
(561) 516-6215
NPI assigned
May 22, 2020
Last updated
Sep 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Authorized official

Name
Christopher Ferry
Title
President
Phone
(609) 798-7596

Specialties & licenses 1

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

Addresses

Primary practice location

30 W Jimmie Leeds Rd
Galloway, NJ 08205-9421

Mailing address

30 W Jimmie Leeds Rd
Galloway, NJ 08205-9421
Phone (609) 798-7596

Other names 1

  • Boca Recovery Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address contact@bocarecoverycenter.com Direct

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2184968The Shore Detox LLC30 W Jimmie Leeds Road, Galloway Township, NJ 08205Certificate of waiverMay 27, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1590105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757289600000",
    "number": "1891318077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 W JIMMIE LEEDS RD",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082059421",
            "telephone_number": "609-798-7596",
            "fax_number": "561-516-6215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 W JIMMIE LEEDS RD",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082059421",
            "telephone_number": "609-798-7596",
            "fax_number": "561-516-6215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SHORE DETOX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-22",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A",
        "authorized_official_last_name": "FERRY",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-798-7596"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "contact@bocarecoverycenter.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "30 W Jimmie Leeds Rd",
            "city": "Galloway",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "082059421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Boca Recovery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Boca Recovery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Galloway, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; 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.