Active NPIOrganization

North Jersey Lifestyle Medicine LLC

Clinic/Center, Medical Specialty in Glen Ridge, New Jersey

NPI Number1285534701
Practice location
971 Bloomfield Ave Apt B-1, Glen Ridge, NJ 07028-1301
Fax
—
Last updated
November 9, 2026

North Jersey Lifestyle Medicine LLC is a healthcare organization based in Glen Ridge, NJ. North Jersey Lifestyle Medicine LLC practices in Glen Ridge, NJ. The NPI Number for North Jersey Lifestyle Medicine LLC is 1285534701. The current practice location address for North Jersey Lifestyle Medicine LLC is 971 Bloomfield Ave Apt B-1, Glen Ridge, NJ 07028-1301 and can be reached out via phone at 201-956-4147.

Provider Profile Details

NPI Number
1285534701
Provider Name
North Jersey Lifestyle Medicine LLC
Provider Entity Type
Organization
Address
971 Bloomfield Ave Apt B-1, Glen Ridge, NJ 07028-1301
Phone Number
201-956-4147
Primary Taxonomy
Clinic/Center, Medical Specialty · 261QM2500X
Organization Subpart
No
Authorized Official
Dennis Verducci, MSN, APRN, AGNP-C · Owner · 201-956-4147
Provider Enumeration Date
November 9, 2026
Last Update Date
November 9, 2026
Certification Date
November 9, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
971 Bloomfield Ave Apt B-1
Glen Ridge, NJ 07028-1301
Zip
07028-1301
Phone Number
201-956-4147
Glen Ridge, NJ 07028Get directions →

Provider Business Mailing Address Details

Address
971 Bloomfield Ave Apt B-1
Glen Ridge, NJ 07028-1301
City
Glen Ridge
State
NJ
Zip
07028-1301
Phone Number
201-956-4147

License Information

Taxonomy
Clinic/Center, Medical Specialty · 261QM2500X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of North Jersey Lifestyle Medicine LLC?

The NPI number of North Jersey Lifestyle Medicine LLC is 1285534701. It was assigned on November 9, 2026 and is currently active in the NPPES registry.

What is the specialty of North Jersey Lifestyle Medicine LLC?

North Jersey Lifestyle Medicine LLC is registered under the primary taxonomy Clinic/Center, Medical Specialty (code 261QM2500X).

Where does North Jersey Lifestyle Medicine LLC practice?

The practice location is 971 Bloomfield Ave Apt B-1, Glen Ridge, NJ 07028-1301. The office can be reached at 201-956-4147 (phone).

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 1285534701 directly on the NPPES registry website.

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