Organization Active NPI

Lifescan Diagnostics PC

  • Cardiovascular Disease Physician
  • Garfield, NJ
National Provider Identifier
1184079824
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
LIFESCAN DIAGNOSTICS PC
Practice address
399 Midland Ave
Garfield, NJ 07026-1614
Phone
(973) 878-3282
Fax
(973) 878-1773
NPI assigned
May 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Authorized official

Name
Enida Berberi
Title
Management
Phone
(973) 997-5233

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X Primary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X

Addresses

Primary practice location

399 Midland Ave
Garfield, NJ 07026-1614

Mailing address

399 Midland Ave
Garfield, NJ 07026-1614
Phone (973) 878-3282

Other practice location 1

160 Lanza Ave Ste 9
Garfield, NJ 07026-3551
Phone (973) 878-3282

Other identifiers 2

IdentifierTypeStateIssuer
1184079824OtherNJNPI
0512044MedicaidNJ

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL n/a

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190920001956 NJ Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 1153609292 Practice locations: Garfield, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2207277Lifescan Diagnostics PC399 Midland Ave, Garfield, NJ 07026Certificate of waiverDec 27, 2026

National Provider Directory

National Provider Directory

Locations

230 US Highway 206
Ste 2
Flanders, NJ 07836
Phone (551) 258-4342

230 US Highway 206
Ste 5
Flanders, NJ 07836
Phone (973) 873-0211

160 Lanza Ave
Ste 8
Garfield, NJ 07026
Phone (973) 878-3282

399 Midland Ave
Garfield, NJ 07026
Phone (973) 878-3282

160 Lanza Ave
Ste 9
Garfield, NJ 07026
Phone (973) 864-7845

312 Belleville Tpke
Ste 1B
North Arlington, NJ 07031
Phone (201) 997-6776

433 60th St
Fl 1
West New York, NJ 07093
Phone (201) 770-9995

435 57th St
Fl 1
West New York, NJ 07093

433 60th St
Fl 2
West New York, NJ 07093

Practitioners & affiliated clinicians

Practitioners 2

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": "1462147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740009600000",
    "number": "1184079824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 MIDLAND AVE",
            "city": "GARFIELD",
            "state": "NJ",
            "postal_code": "070261614",
            "telephone_number": "973-878-3282",
            "fax_number": "973-878-1773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 MIDLAND AVE",
            "city": "GARFIELD",
            "state": "NJ",
            "postal_code": "070261614",
            "telephone_number": "973-878-3282",
            "fax_number": "973-878-1773"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "160 Lanza Ave Ste 9",
            "address_purpose": "LOCATION",
            "city": "Garfield",
            "state": "NJ",
            "postal_code": "070263551",
            "country_code": "US",
            "telephone_number": "973-878-3282",
            "fax_number": "973-878-1773",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIFESCAN DIAGNOSTICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-02",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A",
        "authorized_official_last_name": "BERBERI",
        "authorized_official_first_name": "ENIDA",
        "authorized_official_title_or_position": "MANAGEMENT",
        "authorized_official_telephone_number": "973-997-5233"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1184079824",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0512044",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "n/a",
            "affiliation": "N",
            "address_1": "160 Lanza Ave Ste 9",
            "city": "Garfield",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070263551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Garfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.