Lifestyles Medical

LBN: Lifestyles Medical
Lifestyles Medical is an health care organization with primary practice located at 107 Monmouth Rd Suite 104 D, West Long Branch NJ 07764-1021. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is the primary health care specialty. Lifestyles Medical can be contacted via phone (732) 542-2638, or through Salani, Rand via phone (732) 542-2638.

Contact Information

Primary practice address
107 Monmouth Rd Suite 104 D West Long Branch NJ 07764-1021
Fax: (732) 542-2620
Website:
Authorized official contact:
Name: Salani, Rand

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 44SC05539700 New Jersey
Allopathic & Osteopathic Physicians / General Practice 208D00000X 25MB07769000 New Jersey

Profile Details

NPI number 1699188359
LBN Legal business name Lifestyles Medical
DBA Doing business as
Authorized official Salani, Rand
Entity Organization
Organization subpart 1 No
Enumeration date Jun 10th, 2014
Last updated Jun 10th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699188359 NPPES
New Jersey Other 0600410687 CORPORATE ID NUMBER

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