Project New Way of Life Inc.

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

37LC00268800 Issued in NJ

Legal business name

PROJECT NEW WAY OF LIFE INC.

Practice address

60 Evergreen PL Ste 904
East Orange, NJ 07018-2114

Phone

(908) 280-5804

NPI assigned

Jul 30, 2018

Last updated

Jul 30, 2018By 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

Randolph Dixon

Title

Provider

Phone

(908) 280-5804

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1532908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532908800000",
    "number": "1710465091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 DODD ST FL 2",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070173213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 EVERGREEN PL STE 904",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070182114",
            "telephone_number": "908-280-5804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROJECT NEW WAY OF LIFE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-30",
        "last_updated": "2018-07-30",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "RANDOLPH",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "908-280-5804"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00268800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Addiction (Substance Use Disorder) Counselor in East Orange, NJ
• Providers in East Orange, NJ by specialty
• Addiction (Substance Use Disorder) Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2018; 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.