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COLLEGE RECOVERY LLC
NPI 1114757739
Clinic/Center - Rehabilitation, Substance Use Disorder in New Brunswick, NJ

Active since August 07, 2024CLIA Certified · 2 labs
104 BAYARD ST, NEW BRUNSWICK, NJ 08901(973) 556-7701 Get Directions Write a Review

NPPES record last updated: August 7, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About College Recovery Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COLLEGE RECOVERY LLC (NPI 1114757739), doing business as Soba New Jersey, is a healthcare organization registered as a rehabilitation, substance use disorder in New Brunswick, New Jersey and active in the NPI registry since August 2024. The organization holds 2 active CLIA laboratory certificates and lists Isaac Glasman, Director, as its authorized official.

NPPES Registry Identity

NPI1114757739
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameCOLLEGE RECOVERY LLC
Location Address104 BAYARD STNew Brunswick, NJ 08901-2389
Mailing Address104 Bayard StNew Brunswick, NJ 08901-2389
Phone(973) 556-7701
Organization SubpartYes
Authorized OfficialIsaac GlasmanDirector · (973) 556-7701
Enumeration DateAugust 7, 2024
NPPES CertifiedAugust 7, 2024
✔ NPI 1114757739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X
104 BAYARD ST, New Brunswick, NJ 08901
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Other Names 1

Doing Business AsSoba New Jersey

Other Identifiers 1

Other2000540NJ · Doh Cn&l

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2092054

College Recovery LLC Dba Soba New Jersey · New Brunswick, NJ
Active · expires Dec 12, 2027
CLIA Number31D2092054
Laboratory TypePhysician Office
Certificate Effective DateDecember 13, 2025
Certificate Expiration DateDecember 12, 2027
Laboratory DirectorJoseph Gigliotti
Laboratory Phone(609) 731-1709
Laboratory LocationCollege Recovery LLC Dba Soba New Jersey104 Bayard Street 1st, 2nd, 4th & 5th Fl, New Brunswick, NJ 08901
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 31D2201158

College Recovery LLC Dba Soba New Jersey · New Brunswick, NJ
Active · expires Nov 18, 2026
CLIA Number31D2201158
Laboratory TypeSubstance Abuse Tx Detox/
Certificate Effective DateNovember 19, 2024
Certificate Expiration DateNovember 18, 2026
Laboratory DirectorJoseph Gigliotti
Laboratory Phone(973) 556-7701
Laboratory LocationCollege Recovery LLC Dba Soba New Jersey33 Duke Street, New Brunswick, NJ 08901
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAMANTHA N SWEENEY
Social Worker
104 BAYARD ST
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 847-2869
MISS KELLY ROSE PRINTON LCSW, LCADC
Social Worker
104 BAYARD ST, 2ND FLOOR
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 847-2869
MELISSA HULTS LCSW, LCADC
Social Worker
104 BAYARD ST
NEW BRUNSWICK, NJ 08901
Middlesex County (908) 566-8745
COLLEGE RECOVERY LLC
Clinical Medical Laboratory
104 BAYARD ST
NEW BRUNSWICK, NJ 08901
Middlesex County (310) 528-6370
MAGALY IRINEO LSW
Social Worker (Clinical)
104 BAYARD ST
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 847-2869
MS. LEIGH FAGERSTROM LCSW, LCADC
Counselor (Professional)
104 BAYARD ST
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 847-2869
JESSICA SZABO LSW
Counselor (Addiction (Substance Use Disorder))
104 BAYARD ST
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 847-2869
STEVE SIEBELTS MSW
Social Worker (Clinical)
104 BAYARD ST
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 847-2869

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is College Recovery LLC's NPI number?

The NPI number for College Recovery LLC is 1114757739. It was assigned to this organization in the NPPES registry on August 7, 2024. The provider is doing business as SOBA New Jersey.

Where is College Recovery LLC located?

College Recovery LLC is located at 104 Bayard St, New Brunswick, NJ 08901. The listed phone number is (973) 556-7701.

What is College Recovery LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Does College Recovery LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for College Recovery LLC was last updated on August 7, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.