Organization Active NPI

Walloflions, LLC.

  • Community/Behavioral Health Agency
  • Union, NJ
National Provider Identifier
1063901015
Registry record updated Feb 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
WALLOFLIONS, LLC.
Practice address
2816 Morris Ave Ste 33B
Union, NJ 07083-4870
Phone
(973) 477-9641
NPI assigned
May 4, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2024

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

Authorized official

Name
Sergio ParedesNPI 1053984757
Title
President
Phone
(973) 477-9641

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2816 Morris Ave Ste 33B
Union, NJ 07083-4870

Mailing address

8 Lombardy St Unit 166
Newark, NJ 07102-3210
Phone (973) 477-9641

Other identifiers 1

IdentifierTypeStateIssuer
0450251843OtherNJNJ ID

Other names 1

  • Lion Health Initiative Doing business as

National Provider Directory

National Provider Directory

Locations

2816 Morris Ave
Ste 33B
Union, NJ 07083
Phone (973) 477-9641

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1525392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706918400000",
    "number": "1063901015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 LOMBARDY ST UNIT 166",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071023210",
            "telephone_number": "973-477-9641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2816 MORRIS AVE STE 33B",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070834870",
            "telephone_number": "973-477-9641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALLOFLIONS, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-04",
        "last_updated": "2024-02-03",
        "certification_date": "2024-01-31",
        "status": "A",
        "authorized_official_last_name": "PAREDES",
        "authorized_official_first_name": "SERGIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-477-9641"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ ID",
            "identifier": "0450251843",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lion Health Initiative",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lion Health Initiative",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Union, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2024; 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.