LC Medical Care LLC

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

License

25MA08886400 Issued in NJ

Legal business name

LC MEDICAL CARE LLC

Practice address

335 Chestnut St
Norwood, NJ 07648-0001

Phone

(201) 899-3560

Fax

(201) 899-3561

NPI assigned

Jul 18, 2018

Organization subpart

No

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

Authorized official

Name

Lisa Ann Corrente, MD

Title

Owner

Phone

(201) 899-3560

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531872000000",
    "number": "1306322839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 CHESTNUT ST",
            "city": "NORWOOD",
            "state": "NJ",
            "postal_code": "076480001",
            "telephone_number": "201-899-3560",
            "fax_number": "201-899-3561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 CHESTNUT ST",
            "city": "NORWOOD",
            "state": "NJ",
            "postal_code": "076480001",
            "telephone_number": "201-899-3560",
            "fax_number": "201-899-3561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LC MEDICAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-18",
        "last_updated": "2018-07-18",
        "status": "A",
        "authorized_official_last_name": "CORRENTE",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-899-3560",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "NJ",
            "license": "25MA08886400",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NJ",
            "license": "25MA08886400",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jeong Eun Lee, ACUPUNCTURIST
• John Raymond Lynch, D.M.D.
• Barbara Jane Maciver, M.D.
• Anila M. Mathew
• Mediheal Wellness Center

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Norwood, NJ
• Providers in Norwood, NJ by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2018; 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.