NPIMap

Organization Active NPI

John Brooks Recovery Center

  • Substance Abuse Rehabilitation Facility
  • Atlantic City, NJ
National Provider Identifier
1932675295
Registry record updated Oct 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
JOHN BROOKS RECOVERY CENTER
Practice address
20 S Tennessee Ave
Atlantic City, NJ 08401-7135
Phone
(609) 345-2020
Fax
(609) 646-7027
NPI assigned
Oct 15, 2018
Last updated
Oct 15, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2018

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
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

20 S Tennessee Ave
Atlantic City, NJ 08401-7135

Mailing address

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

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.

Locations

20 S Tennessee Ave
Atlantic City, NJ 08401
Phone (609) 345-2020

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

NPI Registry JSON

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

{
    "created_epoch": "1539561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539561600000",
    "number": "1932675295",
    "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": "08232",
            "telephone_number": "609-345-2020",
            "fax_number": "609-646-7027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 S TENNESSEE AVE",
            "city": "ATLANTIC CITY",
            "state": "NJ",
            "postal_code": "084017135",
            "telephone_number": "609-345-2020",
            "fax_number": "609-646-7027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN BROOKS RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-15",
        "last_updated": "2018-10-15",
        "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": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantic City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2018; 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.