Active NPI
Lifefit Wellness LLC
- Home Health Agency
- Little Falls, NJ
National Provider Identifier
1396285706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- LIFEFIT WELLNESS LLC
- Practice address
- 26 Jacobus Ave
Little Falls, NJ 07424-2305 - Phone
- (551) 358-2425
- NPI assigned
- Mar 3, 2017
- 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
- Mr. Raymond Sy, PT
- Title
- Member
- Phone
- (551) 358-2425
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
26 Jacobus Ave
Little Falls, NJ 07424-2305
Mailing address
26 Jacobus Ave
Little Falls, NJ 07424-2305
Phone (551) 358-2425
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20171101001736 | NJ | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 9234405515 |
Receives reassigned benefits from 1 practitioner Practice locations: Little Falls, NJ |
National Provider Directory
National Provider DirectoryPractitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488499200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1503360000000",
"number": "1396285706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 JACOBUS AVE",
"city": "LITTLE FALLS",
"state": "NJ",
"postal_code": "074242305",
"telephone_number": "551-358-2425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 JACOBUS AVE",
"city": "LITTLE FALLS",
"state": "NJ",
"postal_code": "074242305",
"telephone_number": "551-358-2425"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFEFIT WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-03",
"last_updated": "2017-08-22",
"status": "A",
"authorized_official_last_name": "SY",
"authorized_official_first_name": "RAYMOND",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "551-358-2425",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Little Falls, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2017; 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.