Northeast Life Skills Associates, Inc.
NPI 1093707192 · Methadone Clinic · Passaic, NJ
Northeast Life Skills Associates, Inc. is a Methadone Clinic organization in Passaic, NJ (NPI 1093707192).
Provider details
- NPI number
- 1093707192
- Entity type
- Organization
- Primary specialty
- Methadone ClinicAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Carolyn Illge, Executive Director(973) 777-2962
- License
- 10CC00058000 (NJ)
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Former legal business name
- The Passaic Clinic
Registry dates
- Enumerated
- 2005-08-16
- Last updated
- 2020-08-22
Frequently asked questions
- What is Northeast Life Skills Associates, Inc.'s NPI number?
- Northeast Life Skills Associates, Inc.'s National Provider Identifier (NPI) is 1093707192, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northeast Life Skills Associates, Inc.?
- Northeast Life Skills Associates, Inc. is classified in the NPPES registry as Methadone Clinic (Ambulatory Health Care Facilities).
- Where is Northeast Life Skills Associates, Inc. located?
- Northeast Life Skills Associates, Inc.'s practice location on file with NPPES is 121 Howe Ave, Passaic, NJ 07055-4013.
- What is Northeast Life Skills Associates, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Northeast Life Skills Associates, Inc. is (973) 777-2962.
- Who is the authorized official for Northeast Life Skills Associates, Inc.?
- The authorized official listed on Northeast Life Skills Associates, Inc.'s NPPES record is Carolyn Illge, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northeast Life Skills Associates, Inc.'s NPI active?
- Yes — Northeast Life Skills Associates, Inc.'s NPI (1093707192) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.