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NORTHEAST LIFE SKILLS ASSOCIATES, INC.
NPI 1093707192
Clinic/Center - Methadone in Passaic, NJ

Active since August 16, 2005
121 HOWE AVE, PASSAIC, NJ 07055(973) 777-2962(973) 777-7623 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Northeast Life Skills Associates, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHEAST LIFE SKILLS ASSOCIATES, INC. (NPI 1093707192), doing business as The Passaic Clinic, is a healthcare organization registered as a methadone in Passaic, New Jersey and active in the NPI registry since August 2005. The organization lists Carolyn Frances Illge, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1093707192
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NameNORTHEAST LIFE SKILLS ASSOCIATES, INC.
Location Address121 HOWE AVEPassaic, NJ 07055-4013
Mailing Address121 Howe AvePassaic, NJ 07055-4013 · (973) 777-2962 · Fax (973) 777-7623
Phone(973) 777-2962
Fax(973) 777-7623
Organization SubpartNo
Authorized OfficialCarolyn Frances IllgeExecutive Director · (973) 777-2962
Enumeration DateAugust 16, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1093707192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · MethadoneAmbulatory Health Care Facilities
Taxonomy Code261QM2800X
Licenses✔ Licensed in NJ · 22306✔ Licensed in NJ · 10CC00058000
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
121 HOWE AVE, Passaic, NJ 07055
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Other Names 1

Former Legal Business NameThe Passaic Clinic

Other Identifiers 2

Medicaid7633203NJ
Medicaid0101401NJ

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAUREN N. SEIFERT LPC, LCADC
Counselor (Professional)
121 HOWE AVE
PASSAIC, NJ 07055
Passaic County (973) 777-2962

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northeast Life Skills Associates, Inc.'s NPI number?

The NPI number for Northeast Life Skills Associates, Inc. is 1093707192. It was assigned to this organization in the NPPES registry on August 16, 2005. The provider was formerly known as The Passaic Clinic.

Where is Northeast Life Skills Associates, Inc. located?

Northeast Life Skills Associates, Inc. is located at 121 Howe Ave, Passaic, NJ 07055. The listed phone number is (973) 777-2962.

What is Northeast Life Skills Associates, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Methadone, with taxonomy code 261QM2800X.

When was this NPI record last updated?

The NPPES record for Northeast Life Skills Associates, Inc. was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.