Active NPI
Lifetime Support Incorporated
- Case Manager/Care Coordinator
- Springfield, NJ
National Provider Identifier
1447503636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Legal business name
- LIFETIME SUPPORT INCORPORATED
- Practice address
- 52 Fadem Rd
Springfield, NJ 07081-3116 - Phone
- (973) 315-0027
- NPI assigned
- Oct 25, 2012
- 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
- Mrs. Jamie Dungey
- Title
- Program Administrator
- Phone
- (973) 315-0027
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
52 Fadem Rd
Springfield, NJ 07081-3116
Mailing address
52 Fadem Rd
Springfield, NJ 07081-3116
Phone (973) 315-0027
National Provider Directory
National Provider DirectoryLocations
52 Fadem Rd
Springfield, NJ 07081
Phone (973) 315-0027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351123200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1351123200000",
"number": "1447503636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "52 FADEM RD",
"city": "SPRINGFIELD",
"state": "NJ",
"postal_code": "070813116",
"telephone_number": "973-315-0027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "52 FADEM RD",
"city": "SPRINGFIELD",
"state": "NJ",
"postal_code": "070813116",
"telephone_number": "973-315-0027"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFETIME SUPPORT INCORPORATED",
"organizational_subpart": "NO",
"enumeration_date": "2012-10-25",
"last_updated": "2012-10-25",
"status": "A",
"authorized_official_last_name": "DUNGEY",
"authorized_official_first_name": "JAMIE",
"authorized_official_title_or_position": "PROGRAM ADMINISTRATOR",
"authorized_official_telephone_number": "973-315-0027",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.