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NEW PATHWAY COUNSELING SERVICES NPI 1235298142


NPI Information

NPI: 1235298142
Provider Name: NEW PATHWAY COUNSELING SERVICES

Doing Business As: MINDMATTERS INC

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

CLIA Number: 31D2277328

Address:
321 CHANGEBRIDGE RD
PINE BROOK, NJ
ZIP 07058
Phone: (201) 436-1022
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NEW PATHWAY COUNSELING SERVICES is a rehabilitation and substance use disorder clinic center in Pine Brook, NJ. NEW PATHWAY COUNSELING SERVICES NPI is 1235298142. The provider is registered as an organization entity type.
The provider Is Doing Business As Mindmatters Inc.

The provider's business location address is:

321 CHANGEBRIDGE RD
PINE BROOK, NJ
ZIP 07058-583
Phone: (201) 436-1022
Fax: (201) 436-0277

The provider's authorized official is Yosef Schuck .
The authorized official title is Ceo and has the following contact phone number (848) 221-0780.

The CLIA number assigned to this NPI record is 31D2277328 - ancillary testing site in health care center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/6/2006 and was last updated on 9/11/2020.


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
1324500000XSubstance Abuse Rehabilitation FacilityNo
2261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10735892MEDICAIDNEW JERSEY

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: 5/5/2024

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