Healthcare Provider Details

I. General information

NPI: 1508280322
Provider Name (Legal Business Name): PATHWAYS TO WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2014
Last Update Date: 02/13/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

312 APPLEGARTH RD
MONROE NJ
08831-5347
US

IV. Provider business mailing address

43 LINWOOD DR
MONROE NJ
08831-3788
US

V. Phone/Fax

Practice location:
  • Phone: 732-655-4239
  • Fax:
Mailing address:
  • Phone: 609-245-8550
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. GAGANDEEP SINGH
Title or Position: OWNER
Credential: MD
Phone: 908-675-6010