GARDEN STATE DETOX LLC
NPI 1023687563
Clinic/Center - Rehabilitation, Substance Use Disorder in Newton, NJ
NPI Status: Active since June 19, 2021
- Organization
- Clinic/Center
- Rehabilitation, Substance Use Disorder
- CLIA Number: 31D2194324
- CLIA Cert. Type: Other - SUBSTANCE USE FACILITY
- CLIA Exp. Date: 09-29-2026
About GARDEN STATE DETOX LLC
This page provides the complete NPI Profile along with additional information for Garden State Detox Llc, a provider established in Newton, New Jersey operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1023687563 assigned on June 2021. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated February 2025. The authorized official of this NPI record is Ms. Kara Quinn (Billing Director)
- NPI
- 1023687563
- Provider Name
- GARDEN STATE DETOX LLC
- Entity Type
- Organization
- Location Address
- 75 SPARTA AVE NEWTON, NJ 07860
- Location Phone
- (561) 818-9901
- Mailing Address
- 7050 W PALMETTO PARK ROAD SUITE 15 #181 BOCA RATON, FL 33433
- Mailing Phone
- (561) 818-9901
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-19-2021
- Last Update Date
- 02-04-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Rehabilitation, Substance Use Disorder
- Taxonomy Code
- 261QR0405X
- Type
- Ambulatory Health Care Facilities
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 31D2194324
- Facility Type
- Other - SUBSTANCE USE FACILITY
- Certificate Effective Date
- September 30, 2024
- Certificate Expiration Date
- September 29, 2026
- Laboratory Director
- MICHAEL R. GANON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Garden State Detox Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 2 | 3 | 6 | 8 | 7 | 5 | 6 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 4 | 3 | 12 | 8 | 14 | 5 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 4 + 3 + 1 + 2 + 8 + 1 + 4 + 5 + 1 + 2 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1023687563 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1023687563, enumerated in the NPI registry as an "organization" on June 19, 2021
The provider is located at 75 Sparta Ave Newton, Nj 07860 and the phone number is (561) 818-9901
This medical organization specializes in Clinic/Center with taxonomy code 261QR0405X with a focus in Rehabilitation, Substance Use Disorder
The provider's CLIA number is 31D2194324 for a "other - substance use facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on June 19, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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