Pathway 2 Recovery Gold Coast

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

PATHWAY 2 RECOVERY GOLD COAST

Doing business as

Kosher Soberiety

Practice address

23116A Sandal Foot Plaza Drive
Boca Raton, FL 33428

Phone

(954) 678-0078

Fax

(954) 634-3912

NPI assigned

Jun 16, 2014

Last updated

Dec 23, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Zarina Delmarr

Title

Billing Manager

Phone

(954) 678-0078

Specialties & licenses 1

Addresses

Other names 1

• Kosher Soberiety Doing business as

Tax ID family

Kosher Soberiety2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pathway 2 Recovery Gold Coast, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Boca Raton, FL
  • NPI 1639577950
  NPD tax ID

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

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419292800000",
    "number": "1710391966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23116A SANDAL FOOT PLAZA DRIVE",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33428",
            "telephone_number": "954-678-0078",
            "fax_number": "954-634-3912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23116A SANDAL FOOT PLAZA DRIVE",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33428",
            "telephone_number": "954-678-0078",
            "fax_number": "954-634-3912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAY 2 RECOVERY GOLD COAST",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-16",
        "last_updated": "2014-12-23",
        "status": "A",
        "authorized_official_last_name": "DELMARR",
        "authorized_official_first_name": "ZARINA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "954-678-0078"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kosher Soberiety",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Riya Patel, FNP-C
• Shatabdi Patel, MD
• Sunil C Patel, MD
• Vinu D Patel, PA
• Path Medical, LLC (Path Medical -MRI Boca)
• Pathway 2 Recovery Gold Coast, LLC
• Pathways to Progress Therapy Services, LLC (Pathways to Progress Therapy)
• Patient Care Home Health Services LLC
• Patient Provider Network LLC
• Patients Partner (Lisa Guglielmo-Perzone)

• Substance Use Disorder Rehabilitation Clinic/Center in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2014; 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.