New Life of Community Health Services, Inc.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

100250 Issued in PA

Legal business name

NEW LIFE OF COMMUNITY HEALTH SERVICES, INC.

Practice address

6722 Bustleton Ave
Philadelphia, PA 19149-2301

Phone

(215) 708-2100

Fax

(215) 708-1650

NPI assigned

Aug 5, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Gary Gaft

Title

Vice President/Administrator

Phone

(215) 708-2100

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Tax ID family

New Life of Community Health Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• New Life of Community Health Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bensalem, PA
  • NPI 1053582809
  NPD tax ID

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ludmila A Radzievska, M.D.

  • Psychiatry Physician
  • Philadelphia, PA
  • NPI 1275622656
  Medicare reassignment NPD
• Patricia Osborne Randolph

  • Counselor
  • Philadelphia, PA
  • NPI 1558722488
  NPD
• Florence Fortino

  • Registered Dietitian
  • Bensalem, PA
  • NPI 1902226970
  NPD (past)
• Michael Kaganovich, M.D.

  • Psychiatry Physician
  • Ambler, PA
  • NPI 1467552950
  NPD (past)
• Judith Tan Navarro, M.D.

  • Psychiatry Physician
  • Wynnewood, PA
  • NPI 1437173994
  NPD (past)
• Neil S Schwalb, M.D.

  • Psychiatry Physician
  • Philadelphia, PA
  • NPI 1861442386
  NPD (past)
• Yang Shan, M.D.

  • Psychiatry Physician
  • Lansdale, PA
  • NPI 1841243003
  NPD (past)
• Polina Stolyarova, M.D.

  • Psychiatry Physician
  • Philadelphia, PA
  • NPI 1043228216
  NPD (past)
• Zinovy Izgur, MD

  • Psychiatry Physician
  • Trenton, NJ
  • NPI 1972611127
  NPD (past)

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386653814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6722 BUSTLETON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191492301",
            "telephone_number": "215-708-2100",
            "fax_number": "215-708-1650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6722 BUSTLETON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191492301",
            "telephone_number": "215-708-2100",
            "fax_number": "215-708-1650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE OF COMMUNITY HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GAFT",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "VICE PRESIDENT/ADMINISTRATOR",
        "authorized_official_telephone_number": "215-708-2100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "PA",
            "license": "100250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016619250001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• New Journeys in Recovery
• New Leaf Housing LLC
• New Levels of Care (direct care worker/ home health aide)
• New Life Foundation of PA
• New Life Home Services Inc
• New Line
• New Path MD Inc
• New Pharmacy LLC (The New Pharmacy)
• New Reflections Counseling & Healing Center
• New Reflections Counseling, P.a.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.

Verify at the official NPI Registry.