Active NPI
Lifescan Diagnostics PC
- Cardiovascular Disease Physician
- Garfield, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary | ||
| Diagnostic Radiology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184079824 | Other | NJ | NPI |
| 0512044 | Medicaid | NJ |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | n/a |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190920001956 | NJ | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 1153609292 | Practice locations: Garfield, NJ |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D2207277 | Lifescan Diagnostics PC | Certificate of waiver | Dec 27, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Adult Health Nurse Practitioner
- Garfield, NJ
- NPI 1194548172
-
- Nephrology Physician
- Avenel, NJ
- NPI 1346218856
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.