Greenbranch Recovery, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

GREENBRANCH RECOVERY, LLC

Practice address

206 W Parkway Dr
Egg Harbor Township, NJ 08234-5106

Phone

(609) 645-2500

Fax

(609) 645-9467

NPI assigned

Dec 1, 2017

Last updated

Apr 10, 2018By 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

Denise McCue

Title

Administrative Assistant

Phone

(609) 645-2500

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 4

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.

• Rita Gagliardi, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Egg Harbor Township, NJ
  • NPI 1962162602
  Medicare reassignment NPD
• Tzivya Kownat, N.P.

  • Psychiatric/Mental Health Nurse Practitioner
  • Lakewood, NJ
  • NPI 1992077630
  Medicare reassignment NPD
• Ashira Lasdun, APN-C

  • Nurse Practitioner
  • Lakewood, NJ
  • NPI 1467727008
  Medicare reassignment NPD
• Lori McCline, LCADC

  • Addiction (Substance Use Disorder) Counselor
  • Egg Harbor Township, NJ
  • NPI 1316620271
  Medicare reassignment NPD

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

{
    "created_epoch": "1512086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523318400000",
    "number": "1902310782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 W PARKWAY DR",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082345106",
            "telephone_number": "609-645-2500",
            "fax_number": "609-645-9467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 W PARKWAY DR",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082345106",
            "telephone_number": "609-645-2500",
            "fax_number": "609-645-9467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENBRANCH RECOVERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-01",
        "last_updated": "2018-04-10",
        "status": "A",
        "authorized_official_last_name": "MCCUE",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "609-645-2500"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Gormley, ARNP
• Sally Gorski, LCSW
• Artaya Graham
• Evgenia Granina, M.D
• Rasha R Greas
• Dannie Griffin, PHARMD
• Sheila L Griinke, DO
• Beth Grimm
• Sherice Guest
• Guiding Care

• Substance Abuse Rehabilitation Facility in Egg Harbor Township, NJ
• Providers in Egg Harbor Township, 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 Apr 10, 2018; 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.