Organization Active NPI

Pathwaysrx LLC

  • Multi-Specialty Clinic/Center
  • Miller Place, NY
National Provider Identifier
1205749538
Registry record updated Sep 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
PATHWAYSRX LLC
Practice address
464 Route 25a
Miller Place, NY 11764-2514
Phone
(631) 901-7066
Fax
(631) 642-2195
NPI assigned
Sep 26, 2026
Last updated
Sep 26, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2026

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

Authorized official

Name
Judith Jazwinski Grant, ANP
Title
Co Owner
Phone
(516) 650-7022

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

464 Route 25a
Miller Place, NY 11764-2514

Mailing address

464 Route 25a
Miller Place, NY 11764-2514
Phone (631) 901-7066

NPI Registry JSON

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

{
    "created_epoch": "1790380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790380800000",
    "number": "1205749538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 ROUTE 25A",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117642514",
            "telephone_number": "631-901-7066",
            "fax_number": "631-642-2195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 ROUTE 25A",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117642514",
            "telephone_number": "631-901-7066",
            "fax_number": "631-642-2195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAYSRX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-26",
        "last_updated": "2026-09-26",
        "certification_date": "2026-09-26",
        "status": "A",
        "authorized_official_last_name": "JAZWINSKI GRANT",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "516-650-7022",
        "authorized_official_credential": "ANP"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miller Place, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.