Active NPI
Lifestyle Institute
- Hearing Aid Equipment
- Edison, NJ
National Provider Identifier
1396959797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Aid Equipment
- License
- 25MG00038100
- 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 HEALTH
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3103200 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryNPI 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.