Provider Demographics
NPI:1477374460
Name:HOPEPATH HEALTHCARE SERVICES LLC
Entity type:Organization
Organization Name:HOPEPATH HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:AKINWUMI
Authorized Official - Last Name:OLOWOPOROKU
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:917-873-2593
Mailing Address - Street 1:1124 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:RAHWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:07065-1924
Mailing Address - Country:US
Mailing Address - Phone:848-235-5934
Mailing Address - Fax:848-900-8008
Practice Address - Street 1:1124 BROADWAY
Practice Address - Street 2:
Practice Address - City:RAHWAY
Practice Address - State:NJ
Practice Address - Zip Code:07065-1924
Practice Address - Country:US
Practice Address - Phone:848-235-5934
Practice Address - Fax:848-900-8008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-22
Last Update Date:2024-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty