Organization Active NPI

Lifestyle Institute

  • Hearing Aid Equipment
  • Edison, NJ
National Provider Identifier
1396959797
Registry record updated Jul 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Aid EquipmentTaxonomy code 332S00000X
License
25MG00038100 Issued in NJ
Legal business name
LIFESTYLE INSTITUTE
Practice address
80 James St
4TH Floor
Edison, NJ 08820-3938
Phone
(732) 321-7000
Fax
(732) 744-5830
NPI assigned
May 9, 2007
Organization subpart
Yes
Parent organization
JFK HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 29, 2016

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

Authorized official

Name
Mr. Richard C Smith
Title
Cfo
Phone
(732) 321-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Aid Equipment 332S00000X 25MG00038100 NJ Primary

Addresses

Primary practice location

80 James St
4TH Floor
Edison, NJ 08820-3938

Mailing address

80 James St
4TH Floor
Edison, NJ 08820-3938
Phone (732) 321-7000

Other identifiers 1

IdentifierTypeStateIssuer
3103200MedicaidNJ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469750400000",
    "number": "1396959797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 JAMES ST",
            "address_2": "4TH FLOOR",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203938",
            "telephone_number": "732-321-7000",
            "fax_number": "732-744-5830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 JAMES ST",
            "address_2": "4TH FLOOR",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203938",
            "telephone_number": "732-321-7000",
            "fax_number": "732-744-5830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTYLE INSTITUTE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JFK HEALTH",
        "enumeration_date": "2007-05-09",
        "last_updated": "2016-07-29",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "732-321-7000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "NJ",
            "license": "25MG00038100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3103200",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2016; 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.