Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Northeast Life Skills Associates Inc

Organization Methadone Clinic · NPI 1891865549

Northeast Life Skills Associates Inc is a Methadone Clinic in Passaic, New Jersey. Licensed in New Jersey. Registered with an NPI since 2006.

Licensed in
NJ
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

121 Howe Ave
Passaic, NJ 07055
Phone: (973) 777-2962
Fax: (973) 777-7623
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Methadone Clinic (primary) Taxonomy 261QM2800X · Licence 22306 (NJ)

Record details

NPI number1891865549
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carolyn Illge — Executive Director · (973) 777-2962
NPI enumeratedNovember 9, 2006
Last updated in NPPESAugust 22, 2020
Mailing address121 Howe Avenue, Passaic, NJ 07055

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