Provider Demographics
NPI:1235609710
Name:NEW PATHWAYS TO SUCCESS, INC.
Entity Type:Organization
Organization Name:NEW PATHWAYS TO SUCCESS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:E
Authorized Official - Last Name:GARY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-380-9902
Mailing Address - Street 1:193 TERRILL RD # 9
Mailing Address - Street 2:
Mailing Address - City:FANWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07023-1018
Mailing Address - Country:US
Mailing Address - Phone:973-380-9902
Mailing Address - Fax:
Practice Address - Street 1:193 TERRILL RD # 9
Practice Address - Street 2:
Practice Address - City:FANWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07023-1018
Practice Address - Country:US
Practice Address - Phone:973-380-9902
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-28
Last Update Date:2018-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1891294096Medicaid