BLUECREST DETOX INC.
NPI 1871487033
Clinic/Center - Rehabilitation, Substance Use Disorder in Flemington, NJ

Active since June 04, 2025CLIA 31D2312930 · Waiver
6A MINNEAKONING RD, FLEMINGTON, NJ 08822(973) 298-5776 Get Directions Write a Review

NPPES record last updated: July 21, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 10, 2025, Jun 4, 2025 (2 updates tracked since 2025).

  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder
  • CLIA Number: 31D2312930
  • CLIA Cert. Type: Other - DETOX TREATMENT CENTER
  • CLIA Exp. Date: 10-21-2026

About BLUECREST DETOX INC.

This page provides the complete NPI Profile along with additional information for Bluecrest Detox Inc., a provider established in Flemington, New Jersey operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1871487033 assigned on June 2025. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Michelle Payne Lpc, Lcadc (Vp Operations)

NPI
1871487033 Verify this NPI
Provider Name
BLUECREST DETOX INC.
Entity Type
Organization
Location Address
6A MINNEAKONING RD FLEMINGTON, NJ 08822
Location Phone
(973) 298-5776
Mailing Address
482 NOTCH RD WOODLAND PARK, NJ 07424
Mailing Phone
(973) 298-5776
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-04-2025
Last Update Date
07-21-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Rehabilitation, Substance Use Disorder

Taxonomy Code
261QR0405X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MICHELLE PAYNE LPC, LCADC

Authorized Official Title
VP OPERATIONS
Authorized Official Phone
(551) 777-3600

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
31D2312930
Facility Type
Other - DETOX TREATMENT CENTER
Certificate Effective Date
October 22, 2024
Certificate Expiration Date
October 21, 2026
Laboratory Director
JOSEPH GOVERNARA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Bluecrest Detox Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1871487033, enumerated as an "organization" on June 04, 2025.

The provider is located at 6A MINNEAKONING RD FLEMINGTON, NJ 08822 and the phone number is (973) 298-5776.

Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.