NPIMap

Organization Active NPI

DJV Management

Doing business as New Life Renewal Services

  • Addiction Medicine (Internal Medicine) Physician
  • Pittsburgh, PA
National Provider Identifier
1285162982
Registry record updated May 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
Legal business name
DJV MANAGEMENT
Doing business as
New Life Renewal Services
Practice address
1900 Murray Ave Ste 301
Pittsburgh, PA 15217-1657
Phone
(412) 759-5918
NPI assigned
May 25, 2017
Last updated
May 25, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2017

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

Authorized official

Name
Domenic Verdini, M.S.ED.,L.P.C.NPI 1831383918
Title
Director
Phone
(412) 759-5918

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
Addiction Medicine (Internal Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RA0401X Primary

Addresses

Primary practice location

1900 Murray Ave Ste 301
Pittsburgh, PA 15217-1657

Mailing address

1900 Murray Ave Ste 301
Pittsburgh, PA 15217-1657

Other identifiers 1

IdentifierTypeStateIssuer
1610067MedicaidPA

Other names 1

  • New Life Renewal Services Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1495670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495670400000",
    "number": "1285162982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 MURRAY AVE STE 301",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152171657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 MURRAY AVE STE 301",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152171657",
            "telephone_number": "412-759-5918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DJV MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-25",
        "last_updated": "2017-05-25",
        "status": "A",
        "authorized_official_last_name": "VERDINI",
        "authorized_official_first_name": "DOMENIC",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "412-759-5918",
        "authorized_official_credential": "M.S.ED.,L.P.C."
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1610067",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Life Renewal Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2017; 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.