NPIMap

Organization Active NPI

John Brooks Recovery Center , a New Jersey Nonprofit Corporation

  • Primary Care Clinic/Center
  • Pleasantville, NJ
National Provider Identifier
1902425077
Registry record updated Apr 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
JOHN BROOKS RECOVERY CENTER , A NEW JERSEY NONPROFIT CORPORATION
Practice address
660 Black Horse Pike
Pleasantville, NJ 08232-2360
Phone
(609) 345-2020
NPI assigned
Apr 9, 2020
Last updated
Apr 9, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2020

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

Authorized official

Name
Edward John Pallies
Title
Cfo
Phone
(609) 345-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

660 Black Horse Pike
Pleasantville, NJ 08232-2360

Mailing address

660 Black Horse Pike
Pleasantville, NJ 08232-2360
Phone (609) 345-2020

Other identifiers 1

IdentifierTypeStateIssuer
25175OtherNJSTATE OF NJ PRIMARY CARE LICENSE

National Provider Directory

National Provider Directory
Tax ID family
John Brooks Recovery Center12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1586390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586390400000",
    "number": "1902425077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 BLACK HORSE PIKE",
            "city": "PLEASANTVILLE",
            "state": "NJ",
            "postal_code": "082322360",
            "telephone_number": "609-345-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 BLACK HORSE PIKE",
            "city": "PLEASANTVILLE",
            "state": "NJ",
            "postal_code": "082322360",
            "telephone_number": "609-345-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN BROOKS RECOVERY CENTER , A NEW JERSEY NONPROFIT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-09",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A",
        "authorized_official_last_name": "PALLIES",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "609-345-2020"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF NJ PRIMARY CARE LICENSE",
            "identifier": "25175",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasantville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2020; 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.