SHORE BREAK RECOVERY
NPI 1407438823
Clinic/Center - Adult Mental Health in Somers Point, NJ
About Shore Break Recovery NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHORE BREAK RECOVERY (NPI 1407438823) is a healthcare organization registered as an adult mental health in Somers Point, New Jersey and active in the NPI registry since April 2021. The organization holds a CLIA Waiver certificate valid through March 10, 2027, maintains a secondary practice location in Manahawkin, and lists Ian Koch, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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 31D2216279
Shore Break Recovery LLC · Somers Point, NJFrequently 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 Shore Break Recovery's NPI number?
The NPI number for Shore Break Recovery is 1407438823. It was assigned to this organization in the NPPES registry on April 26, 2021.
Where is Shore Break Recovery located?
Shore Break Recovery is located at 6 Chestnut St Unit 9, Somers Point, NJ 08244. The listed phone number is (609) 709-0244.
What is Shore Break Recovery's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.
Does Shore Break Recovery hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 31D2216279) is associated with this NPI, valid through March 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Shore Break Recovery was last updated on October 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.
