New Life Medical Detoxification LLC

Key facts

NPI

1912466459

Entity type

Organization (NPI type 2)

Primary specialty

Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X

Legal business name

NEW LIFE MEDICAL DETOXIFICATION LLC

Practice address

773 Route 70 East
Suite E100
Marlton, NJ 08053-4128

Phone

(856) 942-3700

NPI assigned

Mar 14, 2019

Organization subpart

No

Authorized official

Name

Joseph J Savon, M.D. NPI 1285740639

Title

Medical Director

Phone

(609) 668-2503

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph J Savon, M.D. Gastroenterology Physician · Moorestown, NJ · NPI 1285740639
  Medicare reassignment NPD Authorized official ADDICTION MEDICINE · NJ

Laboratory certificates & supplier records

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

CLIA laboratory certificates

Medicare participation

Medicare fee-for-service enrollment

Enrolled in NJ

Medicare enrollment records

National Provider Directory

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 17, 2020.

{
    "created_epoch": "1552521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579219200000",
    "number": "1912466459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "773 ROUTE 70 EAST",
            "address_2": "SUITE E100",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534128",
            "telephone_number": "856-942-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "773 ROUTE 70 EAST",
            "address_2": "SUITE E100",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534128",
            "telephone_number": "856-942-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE MEDICAL DETOXIFICATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-14",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A",
        "authorized_official_last_name": "SAVON",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "609-668-2503",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2083A0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Marlton, NJ · Substance Use Disorder Rehabilitation Clinic/Center in New Jersey