Organization Active NPI

Pathway to Wellness

  • Psychiatric/Mental Health Nurse Practitioner
  • Plainfield, NJ
National Provider Identifier
1164721544
Registry record updated Mar 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ00167400 Issued in NJ
Legal business name
PATHWAY TO WELLNESS
Practice address
1010 Park Avenue
Suite 2C 2ND Floor
Plainfield, NJ 07060
Phone
(908) 322-4800
Fax
(908) 322-4802
NPI assigned
Mar 24, 2011
Last updated
Mar 24, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2011

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

Authorized official

Name
Ms. Veronica Jensen, MSN, APNC
Title
Chief Executive Officer Psychiatric
Phone
(908) 322-4800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ00167400 NJ Primary

Addresses

Primary practice location

1010 Park Avenue
Suite 2C 2ND Floor
Plainfield, NJ 07060

Mailing address

1010 Park Avenue
Suite 2C 2ND Floor
Plainfield, NJ 07060
Phone (908) 322-4800

National Provider Directory

National Provider Directory

Locations

1010 Park Ave
Ste 2C
North Plainfield, NJ 07060
Phone (908) 322-4800

NPI Registry JSON

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

{
    "created_epoch": "1300924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300924800000",
    "number": "1164721544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 PARK AVENUE",
            "address_2": "SUITE 2C 2ND FLOOR",
            "city": "PLAINFIELD",
            "state": "NJ",
            "postal_code": "07060",
            "telephone_number": "908-322-4800",
            "fax_number": "908-322-4802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 PARK AVENUE",
            "address_2": "SUITE 2C 2ND FLOOR",
            "city": "PLAINFIELD",
            "state": "NJ",
            "postal_code": "07060",
            "telephone_number": "908-322-4800",
            "fax_number": "908-322-4802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAY TO WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-24",
        "last_updated": "2011-03-24",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER PSYCHIATRIC",
        "authorized_official_telephone_number": "908-322-4800",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSN, APNC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00167400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2011; 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.