Whalio Doctors

NPI 1134563802

New Lifestyle Medical PA

Organisation Addiction Medicine (Psychiatry & Neurology) Physician Fair Lawn, NJ

Practice location

Address
19-21 Fair Lawn Ave STE 2e, Fair Lawn, NJ 07410-2331
Phone
(201) 468-8808
Fax
(201) 815-2520

Authorised official

Name
Igor Gefter
Title
Medical Director
Phone
(201) 468-8808

Registered specialties (9)

Addiction Medicine (Psychiatry & Neurology) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2084A0401X Licence 25MA05661500 (NJ)
Adolescent Medicine (Family Medicine) Physician
Allopathic & Osteopathic Physicians Taxonomy 207QA0000X Licence 25MA06438600 (NJ)
Addiction Medicine (Family Medicine) Physician
Allopathic & Osteopathic Physicians Taxonomy 207QA0401X Licence 25MA06438600 (NJ)
Adult Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207QA0505X Licence 25MA06438600 (NJ)
Geriatric Medicine (Family Medicine) Physician
Allopathic & Osteopathic Physicians Taxonomy 207QG0300X Licence 25MA06438600 (NJ)
Neurodevelopmental Disabilities Physician
Allopathic & Osteopathic Physicians Taxonomy 2084P0005X Licence 25MA05661500 (NJ)
Psychosomatic Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 2084P0015X Licence 25MA05661500 (NJ)
Psychiatry Physician
Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence 25MA05661500 (NJ)
Addiction Psychiatry Physician
Allopathic & Osteopathic Physicians Taxonomy 2084P0802X Licence 25MA05661500 (NJ)

Registry record

NPI
1134563802
Entity type
Organization
NPI issued
24 Apr 2013
Record last updated
9 Jan 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.