New Lifestyle Medical PA
New Lifestyle Medical PA is an Adolescent Medicine (Family Medicine) Physician in Fair Lawn, New Jersey. Licensed in New Jersey. Registered with an NPI since 2013.
- Licensed in
- NJ
- In the registry since
- 2013
- Specialties on file
- 9
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
19-21 Fair Lawn Ave Ste 2EFair Lawn, NJ 07410-2331
Phone: (201) 468-8808
Fax: (201) 815-2520
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction Medicine (Psychiatry & Neurology) Physician (primary) | Taxonomy 2084A0401X · Licence 25MA05661500 (NJ) |
|---|---|
| Adolescent Medicine (Family Medicine) Physician | Taxonomy 207QA0000X · Licence 25MA06438600 (NJ) |
| Addiction Medicine (Family Medicine) Physician | Taxonomy 207QA0401X · Licence 25MA06438600 (NJ) |
| Adult Medicine Physician | Taxonomy 207QA0505X · Licence 25MA06438600 (NJ) |
| Geriatric Medicine (Family Medicine) Physician | Taxonomy 207QG0300X · Licence 25MA06438600 (NJ) |
| Neurodevelopmental Disabilities Physician | Taxonomy 2084P0005X · Licence 25MA05661500 (NJ) |
| Psychosomatic Medicine Physician | Taxonomy 2084P0015X · Licence 25MA05661500 (NJ) |
| Psychiatry Physician | Taxonomy 2084P0800X · Licence 25MA05661500 (NJ) |
| Addiction Psychiatry Physician | Taxonomy 2084P0802X · Licence 25MA05661500 (NJ) |
Record details
| NPI number | 1134563802 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Igor Gefter — Medical Director · (201) 468-8808 |
| NPI enumerated | April 24, 2013 |
| Last updated in NPPES | January 9, 2015 |
| Mailing address | 19-21 Fair Lawn Ave, Ste 2e, Fair Lawn, NJ 07410-2331 |