Quality of Life Care, LLC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

Legal business name

QUALITY OF LIFE CARE, LLC

Doing business as

Quality of Life Care, LLC

Practice address

4 Gigante PL
Cliffside Park, NJ 07010-1205

Phone

(201) 394-2397

NPI assigned

Jul 20, 2020

Last updated

Jul 21, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Teresa Shokry

Title

Credentialing/Billing Manager

Phone

(267) 632-2804

Specialties & licenses 1

Addresses

Other names 1

• Quality of Life Care, LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dragana Obradovic

  • Adult Health Nurse Practitioner
  • Englewood, NJ
  • NPI 1992192876
  Medicare reassignment NPD

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595289600000",
    "number": "1447868179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 GIGANTE PL",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070101205",
            "telephone_number": "201-394-2397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 GIGANTE PL",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070101205",
            "telephone_number": "201-394-2397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY OF LIFE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-20",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A",
        "authorized_official_last_name": "SHOKRY",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "CREDENTIALING/BILLING MANAGER",
        "authorized_official_telephone_number": "267-632-2804"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quality of Life Care, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Professional Occupational & Physical Therapy, PLLC
• Professional Orthopedic and Sports Physical Therapy of NJ, LLC
• Oleg Profis, DPT
• Prosthetic Ambulation Center of Excellence
• Pulse Physical Therapy LLC
• Louis G Quartararo, MD
• Katie Ranuro
• Valerie D. Rawls, LCSW
• Real Sleep Solutions NJ LLC
• Real Smile Dental Inc.

• Adult Health Nurse Practitioner in Cliffside Park, NJ
• Providers in Cliffside Park, NJ by specialty
• Adult Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; 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.