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BEACHWAY NEW JERSEY LLC
NPI 1649972472
Clinic/Center - Rehabilitation, Substance Use Disorder in Lawrenceville, NJ

Active since March 17, 2023CLIA 31D2289403 · Waiver
4 PRINCESS RD STE 208, LAWRENCEVILLE, NJ 08648(772) 812-9652(833) 535-0164 Get Directions Write a Review

NPPES record last updated: April 16, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 1, 2023, Mar 17, 2023 (2 updates tracked since 2023).

About Beachway New Jersey Llc NPPES

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

BEACHWAY NEW JERSEY LLC (NPI 1649972472) is a healthcare organization registered as a rehabilitation, substance use disorder in Lawrenceville, New Jersey and active in the NPI registry since March 2023. The organization holds a CLIA Waiver certificate valid through September 10, 2027 and lists Jared Turner, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1649972472
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameBEACHWAY NEW JERSEY LLC
Location Address4 PRINCESS RD STE 208Lawrenceville, NJ 08648-2322
Mailing Address1700 N Dixie HwyWest Palm Beach, FL 33407-6504 · (772) 812-9652 · Fax (833) 535-0164
Phone(772) 812-9652
Fax(833) 535-0164
Organization SubpartNo
Authorized OfficialJared TurnerBilling Manager · (772) 812-9652
Enumeration DateMarch 17, 2023
Last NPPES UpdateApril 16, 20252 updates tracked since enumeration
NPPES CertifiedApril 16, 2025
✔ NPI 1649972472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
4 PRINCESS RD STE 208, Lawrenceville, NJ 08648
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 31D2289403

Beachway New Jersey LLC · Lawrenceville, NJ
Active · expires Sep 10, 2027
CLIA Number31D2289403
Laboratory TypeOutpatient Sud Treatment
Certificate Effective DateSeptember 11, 2025
Certificate Expiration DateSeptember 10, 2027
Laboratory DirectorPamela Egan
Laboratory Phone(609) 873-3078
Laboratory LocationBeachway New Jersey LLC4 Princess Road, Suite 208, Lawrenceville, NJ 08648
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

CLARISSA MULLIGAN ATTARA PHD,LPC,LCADC,LMHC
Counselor (Professional)
4 PRINCESS RD STE 208
LAWRENCEVILLE, NJ 08648
Mercer County (856) 985-9091
MISCHELLE KRISTOFOR LCSW,LCADC,CCS
Social Worker (Clinical)
4 PRINCESS RD STE 208
LAWRENCEVILLE, NJ 08648
Mercer County (561) 865-5896
JEWELYA TRAMONTANA-STIRES
Counselor
4 PRINCESS RD STE 208
LAWRENCE TOWNSHIP, NJ 08648
Mercer County (844) 405-7716
CARLI EDLING LCSW, LCADC
Social Worker (Clinical)
4 PRINCESS RD STE 208
LAWRENCEVILLE, NJ 08648
Mercer County (609) 468-7922
MS. ADRIENNE LYNN BUCHANAN LCSW, LCADC , CCS
Social Worker
4 PRINCESS RD STE 208
LAWRENCEVILLE, NJ 08648
Mercer County (908) 566-6277

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 Beachway New Jersey LLC's NPI number?

The NPI number for Beachway New Jersey LLC is 1649972472. It was assigned to this organization in the NPPES registry on March 17, 2023.

Where is Beachway New Jersey LLC located?

Beachway New Jersey LLC is located at 4 Princess Rd Ste 208, Lawrenceville, NJ 08648. The listed phone number is (772) 812-9652.

What is Beachway New Jersey LLC's specialty?

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

Does Beachway New Jersey LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2289403) is associated with this NPI, valid through September 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 Beachway New Jersey LLC was last updated on April 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.