Active NPI
Pathwaysrx LLC
- Multi-Specialty Clinic/Center
- Miller Place, NY
National Provider Identifier
1205749538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.