Pathways for Enhanced Living, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC04507100 Issued in NJ

Legal business name

PATHWAYS FOR ENHANCED LIVING, LLC

Practice address

169 Dayton St
Ridgewood, NJ 07450-4407

Phone

(201) 445-3307

NPI assigned

Apr 5, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Marylynn R. Wiseman, LCSWNPI 1942322433

Title

President

Phone

(201) 445-3307

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marylynn R. Wiseman, LCSW

  • Clinical Social Worker
  • Ridgewood, NJ
  • NPI 1942322433
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342396800000",
    "number": "1154443588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 DAYTON ST",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074504407",
            "telephone_number": "201-445-3307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 DAYTON ST",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074504407",
            "telephone_number": "201-445-3307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAYS FOR ENHANCED LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-05",
        "last_updated": "2012-07-16",
        "status": "A",
        "authorized_official_last_name": "WISEMAN",
        "authorized_official_first_name": "MARYLYNN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-445-3307",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04507100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen A Pastirik, MSW LCSW
• Namrata Patel, DO
• Narendra D Patel, M.D.
• Nirali Patel, PA-C
• Sejal Patel, PA-C
• Carly Patterson, LPC, LPAT
• Paul D. Kreisinger, LCSW, LLC
• Franklin E Paulino, M.D.
• Dana Pavese, ED.S., LPC
• Haleh Pazwash, M.D.

• Clinical Social Worker in Ridgewood, NJ
• Providers in Ridgewood, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.