SEACREST RECOVERY CENTER NORTH JERSEY, LLC – NPI #1669998100
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

SEACREST RECOVERY CENTER NORTH JERSEY, LLC is a substance abuse rehabilitation facility located in EATONTOWN, NJ. NPPES has assigned the NPI number 1669998100 to SEACREST RECOVERY CENTER NORTH JERSEY, LLC on August 16, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

The NPI profile was last updated on Apr 09, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SEACREST RECOVERY CENTER NORTH JERSEY, LLC below.

NPI Profile for
SEACREST RECOVERY CENTER NORTH JERSEY, LLC

NPI Number
1669998100
Enumeration Date

(about 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SEACREST RECOVERY CENTER NORTH JERSEY, LLC
Primary location
162 N MAIN STREET
ROUTE 35
EATONTOWN, NJ 07724
Phone: (954) 415-3608 Fax:
Mailing address
5300 ATLANTIC AVE STE 400
DELRAY BEACH, FL 33484-8141
Phone: (954) 415-3608 Fax:
Organization Subpart
No
Authorized Official
JARED PRUZAN
OWNER
Phone: (954) 415-3608
Updated
Certification Date
Apr 09, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
324500000X
- Substance Abuse Rehabilitation Facility (Primary)
103TP2701X
- Psychologist / Group Psychotherapy

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.