Organization Active NPI

Lifefit Wellness LLC

  • Home Health Agency
  • Little Falls, NJ
National Provider Identifier
1396285706
Registry record updated Aug 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Aug 22, 2017

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

Authorized official

Name
Mr. Raymond Sy, PTNPI 1386851764
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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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 Directory

Practitioners 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.

Verify at the official NPI Registry.