Healthcare Provider Details

I. General information

NPI: 1053242099
Provider Name (Legal Business Name): COGNITIVE PATHWAYS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 FRANKLIN ST
JERSEY CITY NJ
07307-2326
US

IV. Provider business mailing address

120 FRANKLIN ST
JERSEY CITY NJ
07307-2326
US

V. Phone/Fax

Practice location:
  • Phone: 973-542-9757
  • Fax: 973-440-3583
Mailing address:
  • Phone: 973-542-9757
  • Fax: 973-440-3583

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: CRIS RAMALHO FABOS
Title or Position: APN/OWNER
Credential:
Phone: 973-542-9757