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Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Northeast Life Skills Associates Inc

Methadone Clinic in Passaic, NJ · enumerated 2006 · authorized official Carolyn Illge, Executive Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1891865549

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Registry record

Entity type Organization (Type 2)
Legal business name Northeast Life Skills Associates Inc
Practice address 121 Howe Avenue, Passaic, NJ, 07055
Fax (973) 777-7623
Enumeration date Nov 9, 2006
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

261QM2800X Methadone Clinic Ambulatory Health Care Facilities · License 22306 (NJ) Primary

Authorized official

Name Carolyn Illge
Title Executive Director

Other identifiers

Identifier Type State Issuer
0101401 Medicaid NJ -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Northeast Life Skills Associates Inc?
NPPES lists Carolyn Illge (Executive Director) as the authorized official for this organization.
What is the NPI number for Northeast Life Skills Associates Inc?
The NPI for Northeast Life Skills Associates Inc is 1891865549, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.