SURFSIDE RECOVERY SERVICES INC. NPI 1699282525

NPI Information

  • NPI: 1699282525
  • Provider Name: SURFSIDE RECOVERY SERVICES INC.
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Organization
  • Address: 3 S WEYMOUTH AVE
    VENTNOR CITY, NJ
    ZIP 08406
  • Phone: (609) 709-0245

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NPI Details

SURFSIDE RECOVERY SERVICES INC. is a professional counselor in Ventnor City, NJ. SURFSIDE RECOVERY SERVICES INC. NPI is 1699282525. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3 S WEYMOUTH AVE
VENTNOR CITY, NJ
ZIP 08406-980
Phone: (609) 709-0245

The provider's authorized official is Ian L. Koch .
The authorized official title is Executive Director and has the following contact phone number (609) 709-0244.

The enumeration date for this NPI number is 12/31/2017 and was last updated on 12/31/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)37LC00214900NEW JERSEYNo
2101YP2500XCounselorProfessional37PC00513700NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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