KEYSTONE RECOVERY CENTER INC
NPI 1275980161
Substance Abuse Rehabilitation Facility in Woodland Park, NJ

Active since May 20, 2016CLIA 31D2123539 · Waiver
482 NOTCH RD, WOODLAND PARK, NJ 07424(973) 298-5776 Get Directions Write a Review

NPPES record last updated: January 23, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 23, 2017, May 20, 2016 (2 updates tracked since 2016).

About Keystone Recovery Center Inc NPPES

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

KEYSTONE RECOVERY CENTER INC (NPI 1275980161) is a healthcare organization registered as a substance abuse rehabilitation facility in Woodland Park, New Jersey and active in the NPI registry since May 2016. The organization holds a CLIA Waiver certificate valid through December 21, 2026 and lists Brian Gamarello, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1275980161
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameKEYSTONE RECOVERY CENTER INC
Location Address482 NOTCH RDWoodland Park, NJ 07424-1922
Mailing Address482 Notch RdWoodland Park, NJ 07424-1922
Organization SubpartNo
Authorized OfficialBrian GamarelloExecutive Director · (973) 298-5776
Enumeration DateMay 20, 2016
Last NPPES UpdateJanuary 23, 20172 updates tracked since enumeration
NPI 1275980161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
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.
482 NOTCH RD, Woodland Park, NJ 07424

CLIA Laboratory Certificates CMS CLIA

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 31D2123539

Keystone Recovery Center, Inc · Woodland Park, NJ
Active · expires Dec 21, 2026
CLIA Number31D2123539
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateDecember 22, 2024
Certificate Expiration DateDecember 21, 2026
Laboratory DirectorJoseph Governara
Laboratory Phone(973) 298-5776
Laboratory LocationKeystone Recovery Center, Inc482 Notch Road, Woodland Park, NJ 07424
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Dentist
482 NOTCH RD
WOODLAND PARK, NJ 07424

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 Keystone Recovery Center Inc's NPI number?

The NPI number for Keystone Recovery Center Inc is 1275980161. It was assigned to this organization in the NPPES registry on May 20, 2016.

Where is Keystone Recovery Center Inc located?

Keystone Recovery Center Inc is located at 482 Notch Rd, Woodland Park, NJ 07424. The listed phone number is (973) 298-5776.

What is Keystone Recovery Center Inc's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Keystone Recovery Center Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2123539) is associated with this NPI, valid through December 21, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Keystone Recovery Center Inc was last updated on January 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.