New Lifestyle Medical Pa

LBN: New Lifestyle Medical Pa
New Lifestyle Medical Pa is an health care organization with primary practice located at 19-21 Fair Lawn Ave Ste 2E, Fair Lawn NJ 07410-2331. The organization recently has 8 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities, Allopathic & Osteopathic Physicians / Psychosomatic Medicine, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Addiction Psychiatry. Allopathic & Osteopathic Physicians / Addiction Medicine is the primary health care specialty. New Lifestyle Medical Pa can be contacted via phone (201) 468-8808, or through Gefter, Igor via phone (201) 468-8808.

Contact Information

Primary practice address
19-21 Fair Lawn Ave Ste 2E Fair Lawn NJ 07410-2331
Phone: (201) 468-8808
Fax: (201) 815-2520
Website:
Map and Directions
Authorized official contact:
Name: Gefter, Igor Doctor of Medicine (MD)
Phone: (201) 468-8808

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 207QA0000X 25MA06438600 New Jersey
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 25MA06438600 New Jersey
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 25MA06438600 New Jersey
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 25MA06438600 New Jersey
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X 25MA05661500 New Jersey
Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities 2084P0005X 25MA05661500 New Jersey
Allopathic & Osteopathic Physicians / Psychosomatic Medicine 2084P0015X 25MA05661500 New Jersey
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 25MA05661500 New Jersey
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X 25MA05661500 New Jersey

Profile Details

NPI number 1134563802
LBN Legal business name New Lifestyle Medical Pa
DBA Doing business as
Authorized official Gefter, Igor Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 24th, 2013
Last updated Jan 9th, 2015 - about 9 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 1134563802 NPPES
New Jersey MEDICAID 0348341

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