Organization · Type 2 NPI
New Lifestyle Medical PA
Addiction Medicine (Psychiatry & Neurology) Physician · Fair Lawn, NJ
NPI number
1134563802
Active
Practice location
19-21 Fair Lawn Ave, Ste 2E
Fair Lawn, NJ 07410-2331
Fax (201) 815-2520
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adolescent Medicine (Family Medicine) Physician | 207QA0000X | 25MA06438600 (NJ) |
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | 25MA06438600 (NJ) |
| Adult Medicine Physician | 207QA0505X | 25MA06438600 (NJ) |
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | 25MA06438600 (NJ) |
| Addiction Medicine (Psychiatry & Neurology) Physician Primary | 2084A0401X | 25MA05661500 (NJ) |
| Neurodevelopmental Disabilities Physician | 2084P0005X | 25MA05661500 (NJ) |
| Psychosomatic Medicine Physician | 2084P0015X | 25MA05661500 (NJ) |
| Psychiatry Physician | 2084P0800X | 25MA05661500 (NJ) |
| Addiction Psychiatry Physician | 2084P0802X | 25MA05661500 (NJ) |
Addiction Medicine (Psychiatry & Neurology) Physician: A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
27 other providers at this address
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- Aliona Rudys MD Internal Medicine LLCInternal Medicine Physician Fair Lawn, NJ NPI 1972748580
- Apple Dentistry PCGeneral Practice Dentistry Fair Lawn, NJ NPI 1053434266
- Chase Medical Group, PCInternal Medicine Physician Fair Lawn, NJ NPI 1417150293
- Fair Lawn Pulmonary Rehabilitation LLCPulmonary Rehabilitation Certified Respiratory Therapist Fair Lawn, NJ NPI 1245702356
- Fair Lawn Spine & PT Care LLCPhysical Medicine & Rehabilitation Physician Fair Lawn, NJ NPI 1790735959
- Jerald N. Rosenberg, Dmd, LLCPeriodontics Fair Lawn, NJ NPI 1811078785
- Salvatore J. Milazzo,d.o.,p.a.General Practice Physician Fair Lawn, NJ NPI 1497874036
- Aliona Rudys, MDInternal Medicine Physician Fair Lawn, NJ NPI 1720057540
- Bernice Alla Leschinsky, DMDDentist Fair Lawn, NJ NPI 1467861039
- Clarvin Alfonso Ombajin, P.T.Physical Therapist Fair Lawn, NJ NPI 1568595395
- Cynthia Carrole Sagullo, MDGynecology Physician Fair Lawn, NJ NPI 1710944194
Other addiction medicine (psychiatry & neurology) physician providers in Fair Lawn
About NPI 1134563802
New Lifestyle Medical PA's National Provider Identifier is 1134563802, issued on Apr 24, 2013. The primary taxonomy on file is Addiction Medicine (Psychiatry & Neurology) Physician (2084A0401X), and the practice location is in Fair Lawn, NJ. The record was last updated on Jan 9, 2015.