- Practice location
- 268 Martin Luther King Jr Blvd, Newark, NJ 07102-2011
- Phone
- 973-674-8866
- Fax
- —
- Last updated
- January 21, 2011
Weight Loss Institute INC is a healthcare organization based in Newark, NJ. Weight Loss Institute INC practices in Newark, NJ. The NPI Number for Weight Loss Institute INC is 1891090858 and holds a License No. 25MA07916100 (NJ). The current practice location address for Weight Loss Institute INC is 268 Martin Luther King Jr Blvd, Newark, NJ 07102-2011 and can be reached out via phone at 973-674-8866.
Provider Profile Details
- NPI Number
- 1891090858
- Provider Name
- Weight Loss Institute INC
- Provider Entity Type
- Organization
- Address
- 268 Martin Luther King Jr Blvd, Newark, NJ 07102-2011
- Phone Number
- 973-674-8866
- Primary Taxonomy
- Specialist · 174400000X
- Organization Subpart
- No
- Authorized Official
- Dr. Theodore Dacosta A, MD · MD · 973-674-8866
- Provider Enumeration Date
- January 21, 2011
- Last Update Date
- January 21, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 268 Martin Luther King Jr Blvd
Newark, NJ 07102-2011 - City
- Newark
- State
- New Jersey
- Zip
- 07102-2011
- Phone Number
- 973-674-8866
Provider Business Mailing Address Details
- Address
- 22 Chestnut St
Livingston, NJ 07039-5502 - City
- Livingston
- State
- NJ
- Zip
- 07039-5502
- Phone Number
- 973-674-8866
- Fax Number
- 973-672-9299
License Information
- License Number (1)
- 25MA07916100
- License State (1)
- NJ
- Taxonomy (1)
- Specialist · 174400000X
- License Number (2)
- 25MA05600200
- License State (2)
- NJ
- Taxonomy (2)
- Specialist · 174400000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Weight Loss Institute INC?
The NPI number of Weight Loss Institute INC is 1891090858. It was assigned on January 21, 2011 and is currently active in the NPPES registry.
What is the specialty of Weight Loss Institute INC?
Weight Loss Institute INC is registered under the primary taxonomy Specialist (code 174400000X), licensed in NJ under license number 25MA07916100.
Where does Weight Loss Institute INC practice?
The practice location is 268 Martin Luther King Jr Blvd, Newark, NJ 07102-2011. The office can be reached at 973-674-8866 (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 1891090858 directly on the NPPES registry website.