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SEACREST RECOVERY CENTER NORTH JERSEY, LLC
NPI 1669998100
Substance Abuse Rehabilitation Facility in Eatontown, NJ

Active since August 16, 2017CLIA 31D2158198 · Waiver
162 N MAIN STREET, ROUTE 35, EATONTOWN, NJ 07724(954) 415-3608 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 9, 2025, Jun 6, 2024, Feb 26, 2020 and 2 more (5 updates tracked since 2017).

About Seacrest Recovery Center North Jersey, Llc NPPES

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

SEACREST RECOVERY CENTER NORTH JERSEY, LLC (NPI 1669998100) is a healthcare organization registered as a substance abuse rehabilitation facility in Eatontown, New Jersey and active in the NPI registry since August 2017. The organization holds a CLIA Waiver certificate valid through November 22, 2026 and lists Jared Pruzan, Owner, as its authorized official.

NPPES Registry Identity

NPI1669998100
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameSEACREST RECOVERY CENTER NORTH JERSEY, LLC
Location Address162 N MAIN STREET, ROUTE 35Eatontown, NJ 07724
Mailing Address5300 Atlantic Ave Ste 400Delray Beach, FL 33484-8141 · (954) 415-3608
Phone(954) 415-3608
Organization SubpartNo
Authorized OfficialJared PruzanOwner · (954) 415-3608
Enumeration DateAugust 16, 2017
Last NPPES UpdateApril 9, 20255 updates tracked since enumeration
NPPES CertifiedApril 9, 2025
✔ NPI 1669998100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedPsychologist · Group PsychotherapyTaxonomy 103TP2701X
162 N MAIN STREET, Eatontown, NJ 07724
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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 31D2158198

Seacrest Recovery Center North Jersey, LLC · Eatontown, NJ
Active · expires Nov 22, 2026
CLIA Number31D2158198
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateNovember 23, 2024
Certificate Expiration DateNovember 22, 2026
Laboratory DirectorDr. Elijah Wilder
Laboratory Phone(732) 837-3323
Laboratory LocationSeacrest Recovery Center North Jersey, LLC162 Main Street, Eatontown, NJ 07724
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Seacrest Recovery Center North Jersey, LLC's NPI number?

The NPI number for Seacrest Recovery Center North Jersey, LLC is 1669998100. It was assigned to this organization in the NPPES registry on August 16, 2017.

Where is Seacrest Recovery Center North Jersey, LLC located?

Seacrest Recovery Center North Jersey, LLC is located at 162 N Main Street Route 35, Eatontown, NJ 07724. The listed phone number is (954) 415-3608.

What is Seacrest Recovery Center North Jersey, LLC's specialty?

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

Does Seacrest Recovery Center North Jersey, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2158198) is associated with this NPI, valid through November 22, 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 Seacrest Recovery Center North Jersey, LLC was last updated on April 9, 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.