Bodhi Awaken to Recovery, LLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

44SW01474300 Issued in NJ

Legal business name

BODHI AWAKEN TO RECOVERY, LLC

Practice address

1466 Hooper Ave
Toms River, NJ 08753-2892

Phone

(732) 443-7324

NPI assigned

Sep 5, 2014

Organization subpart

No

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

Authorized official

Name

Jason Wheeler

Title

Account Manager

Phone

(954) 802-9568

Specialties & licenses 1

Addresses

Practitioners 1

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

• Richard Novatkoski

  • Addiction (Substance Use Disorder) Counselor
  • Toms River, NJ
  • NPI 1891196937
  NPD (past)

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

{
    "created_epoch": "1409875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409875200000",
    "number": "1992106249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 PINYON ST",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077312812",
            "telephone_number": "732-443-7324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1466 HOOPER AVE",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087532892",
            "telephone_number": "732-443-7324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODHI AWAKEN TO RECOVERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-05",
        "last_updated": "2014-09-05",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "ACCOUNT MANAGER",
        "authorized_official_telephone_number": "954-802-9568"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "44SW01474300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karalee Bluhm, MD
• Karl R Blum, MD
• Scott Blumberg, M.D.
• William Kenneth Bonnah Boateng, MD
• Dawn Beverly Bobb Romanick, MS CSW
• Megan Bodie
• Body in Motion Sports & Orthopaedics, Inc
• Kathryn S Boehm, PT
• Teresa A Bohrman, PHARMD
• David Bolignesi, LCSW

• Addiction (Substance Use Disorder) Counselor in Toms River, NJ
• Providers in Toms River, NJ by specialty
• Addiction (Substance Use Disorder) Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2014; 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.