New Lifestyle Medical PA
Psychiatry & Neurology, Addiction Medicine in Fair Lawn, New Jersey
1134563802- Practice location
- 19-21 Fair Lawn Ave, Ste 2E, Fair Lawn, NJ 07410-2331
- Phone
- 201-468-8808
- Fax
- 201-815-2520
- Last updated
- January 9, 2015
New Lifestyle Medical PA is a healthcare organization based in Fair Lawn, NJ. New Lifestyle Medical PA practices in Fair Lawn, NJ. The NPI Number for New Lifestyle Medical PA is 1134563802 and holds a License No. 25MA06438600 (NJ). The current practice location address for New Lifestyle Medical PA is 19-21 Fair Lawn Ave, Ste 2E, Fair Lawn, NJ 07410-2331 and can be reached out via phone at 201-468-8808 and via fax at 201-815-2520.
Provider Profile Details
- NPI Number
- 1134563802
- Provider Name
- New Lifestyle Medical PA
- Provider Entity Type
- Organization
- Address
- 19-21 Fair Lawn Ave, Ste 2E, Fair Lawn, NJ 07410-2331
- Phone Number
- 201-468-8808
- Fax Number
- 201-815-2520
- Primary Taxonomy
- Psychiatry & Neurology, Addiction Medicine · 2084A0401X
- Organization Subpart
- No
- Authorized Official
- Igor Gefter, MD · Medical Director · 201-468-8808
- Provider Enumeration Date
- April 24, 2013
- Last Update Date
- January 9, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 19-21 Fair Lawn Ave
Ste 2E
Fair Lawn, NJ 07410-2331 - City
- Fair Lawn
- State
- New Jersey
- Zip
- 07410-2331
- Phone Number
- 201-468-8808
- Fax Number
- 201-815-2520
Provider Business Mailing Address Details
- Address
- 19-21 Fair Lawn Ave
Ste 2E
Fair Lawn, NJ 07410-2331 - City
- Fair Lawn
- State
- NJ
- Zip
- 07410-2331
- Phone Number
- 201-468-8808
- Fax Number
- 201-815-2520
License Information
- License Number (1)
- 25MA06438600
- License State (1)
- NJ
- Taxonomy (1)
- Family Medicine, Adolescent Medicine · 207QA0000X
- License Number (2)
- 25MA06438600
- License State (2)
- NJ
- Taxonomy (2)
- Family Medicine, Addiction Medicine · 207QA0401X
- License Number (3)
- 25MA06438600
- License State (3)
- NJ
- Taxonomy (3)
- Family Medicine, Adult Medicine · 207QA0505X
- License Number (4)
- 25MA06438600
- License State (4)
- NJ
- Taxonomy (4)
- Family Medicine, Geriatric Medicine · 207QG0300X
- License Number (5)
- 25MA05661500
- License State (5)
- NJ
- Taxonomy (5)
- Psychiatry & Neurology, Neurodevelopmental Disabilities · 2084P0005X
- License Number (6)
- 25MA05661500
- License State (6)
- NJ
- Taxonomy (6)
- Psychiatry & Neurology, Psychosomatic Medicine · 2084P0015X
- License Number (7)
- 25MA05661500
- License State (7)
- NJ
- Taxonomy (7)
- Psychiatry & Neurology, Psychiatry · 2084P0800X
- License Number (8)
- 25MA05661500
- License State (8)
- NJ
- Taxonomy (8)
- Psychiatry & Neurology, Addiction Psychiatry · 2084P0802X
- License Number (9)
- 25MA05661500
- License State (9)
- NJ
- Taxonomy (9)
- Psychiatry & Neurology, Addiction Medicine · 2084A0401X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Psychiatry & Neurology, Addiction Medicine providers near Fair Lawn, NJ
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- Jennifer L Gombo PSYD LLCPsychologist · NPI 1982503793
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Frequently Asked Questions
What is the NPI number of New Lifestyle Medical PA?
The NPI number of New Lifestyle Medical PA is 1134563802. It was assigned on April 24, 2013 and is currently active in the NPPES registry.
What is the specialty of New Lifestyle Medical PA?
New Lifestyle Medical PA is registered under the primary taxonomy Psychiatry & Neurology, Addiction Medicine (code 2084A0401X), licensed in NJ under license number 25MA06438600.
Where does New Lifestyle Medical PA practice?
The practice location is 19-21 Fair Lawn Ave, Ste 2E, Fair Lawn, NJ 07410-2331. The office can be reached at 201-468-8808 (phone) or 201-815-2520 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1134563802 directly on the NPPES registry website.