Active NPI
Lifestyle Wellness
- Sports Physician Chiropractor
- Morristown, NJ
National Provider Identifier
1376117853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- Legal business name
- LIFESTYLE WELLNESS
- Practice address
- 290 Madison Ave Ste 3a
Morristown, NJ 07960-7401 - Phone
- (973) 590-2448
- Fax
- (973) 590-2449
- NPI assigned
- May 18, 2021
- Last updated
- May 18, 2021
- 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
- Dr. Cynthia D'Amelio, DC
- Title
- Doctor of Chiropractic
- Phone
- (973) 900-0238
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | Primary | ||
| Sports Medicine (Internal Medicine) Physician | 207RS0010X |
Addresses
Primary practice location
290 Madison Ave Ste 3a
Morristown, NJ 07960-7401
Mailing address
224 Norwich CT
Madison, NJ 07940-1134
Phone (973) 900-0238
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
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.
-
- Foot & Ankle Surgery Podiatrist
- Parsippany, NJ
- NPI 1053355503
-
- Primary Care Nurse Practitioner
- Morristown, NJ
- NPI 1922880897
-
- Adult Health Nurse Practitioner
- Hackensack, NJ
- NPI 1952054660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621296000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1621296000000",
"number": "1376117853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "224 NORWICH CT",
"city": "MADISON",
"state": "NJ",
"postal_code": "079401134",
"telephone_number": "973-900-0238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "290 MADISON AVE STE 3A",
"city": "MORRISTOWN",
"state": "NJ",
"postal_code": "079607401",
"telephone_number": "973-590-2448",
"fax_number": "973-590-2449"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFESTYLE WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-18",
"last_updated": "2021-05-18",
"certification_date": "2021-05-18",
"status": "A",
"authorized_official_last_name": "D'AMELIO",
"authorized_official_first_name": "CYNTHIA",
"authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
"authorized_official_telephone_number": "973-900-0238",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RS0010X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sports Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Morristown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.