New Life of Community Health Services, Inc.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

100250 Issued in PA

Legal business name

NEW LIFE OF COMMUNITY HEALTH SERVICES, INC.

Practice address

3103 Hulmeville Rd
Suite 102
Bensalem, PA 19020-4381

Phone

(215) 638-8600

Fax

(215) 638-3856

NPI assigned

Mar 20, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Gary Gaft

Title

Vice President/Administrator

Phone

(215) 708-2100

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

New Life of Community Health Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• New Life of Community Health Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Philadelphia, PA
  • NPI 1386653814
  NPD tax ID

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Judith Tan Navarro, M.D.

  • Psychiatry Physician
  • Wynnewood, PA
  • NPI 1437173994
  NPD (past)
• Ludmila A Radzievska, M.D.

  • Psychiatry Physician
  • Philadelphia, PA
  • NPI 1275622656
  NPD (past)
• Zinovy Izgur, MD

  • Psychiatry Physician
  • Trenton, NJ
  • NPI 1972611127
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205971200000",
    "number": "1053582809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6722 BUSTLETON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191492341",
            "telephone_number": "215-708-2100",
            "fax_number": "215-708-1650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3103 HULMEVILLE RD",
            "address_2": "SUITE 102",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190204381",
            "telephone_number": "215-638-8600",
            "fax_number": "215-638-3856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE OF COMMUNITY HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-20",
        "last_updated": "2008-03-20",
        "status": "A",
        "authorized_official_last_name": "GAFT",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "VICE PRESIDENT/ADMINISTRATOR",
        "authorized_official_telephone_number": "215-708-2100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "PA",
            "license": "100250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016619250005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Neuro Medical Systems,Inc.
• Neurodevelopmental Assessment and Consulting, LLC
• Neurologic and Headache Associates, P.C.
• New Heights Chiropractic & Nutrition
• New Hope Formulations LLC
• Kirsten Newlin, MA
• Newtown Psychiatric Assoc
• Kristine Le Nguyen, OTR/L
• Christie Michelle Nichols, M.ED., CCC-SLP
• Jennifer Nizio, OT

• Mental Health Clinic/Center (Including Community Mental Health Center) in Bensalem, PA
• Providers in Bensalem, PA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.