Reliance Aspen Avidon LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

RELIANCE ASPEN AVIDON LLC

Doing business as

Lice Lifters NJ

Practice address

1119 Raritan Rd
Suite 2
Clark, NJ 07066-1315

Phone

(732) 540-8145

NPI assigned

Sep 27, 2012

Organization subpart

No

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

Authorized official

Name

Lisa R Rafal

Title

Owner

Phone

(732) 540-8145

Specialties & licenses 1

Addresses

Other names 1

• Lice Lifters NJ Doing business as

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

{
    "created_epoch": "1348704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348704000000",
    "number": "1427309657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 SUNNYFIELD LN",
            "city": "SCOTCH PLAINS",
            "state": "NJ",
            "postal_code": "070762219",
            "telephone_number": "908-499-2519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 RARITAN RD",
            "address_2": "SUITE 2",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661315",
            "telephone_number": "732-540-8145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIANCE ASPEN AVIDON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-27",
        "last_updated": "2012-09-27",
        "status": "A",
        "authorized_official_last_name": "RAFAL",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-540-8145"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lice Lifters NJ",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Neha K Puwar, PHARMD
• Andrew Leon Quiros, RPH
• Paola Caeiro Raguseo, R.N., APN-BC
• Ishrat Rahman, PHARM.D.
• Divya Rajasekaran, M.D.
• Rems Opticians
• Joseph Renda
• Jonathan Renelle, MS, ATC
• Michelle Restrepo, DPT
• Johannna Reyes

• Health Service Clinic/Center in Clark, NJ
• Providers in Clark, NJ by specialty
• Health Service Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2012; 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.