Life Choices, Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

MB064321 Issued in NJ

Legal business name

LIFE CHOICES, INC.

Practice address

156 S Main St
Phillipsburg, NJ 08865-2827

Phone

(908) 387-0020

Fax

(908) 213-6974

NPI assigned

May 15, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Joan Fasanello

Title

Director

Phone

(908) 213-6974

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457567323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 S MAIN ST",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088653018",
            "telephone_number": "908-213-6974",
            "fax_number": "908-213-6974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 S MAIN ST",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088652827",
            "telephone_number": "908-387-0020",
            "fax_number": "908-213-6974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CHOICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FASANELLO",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "908-213-6974",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NJ",
            "license": "MB064321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0083291",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Irwin H Lewis, MD
• Lgi Counseling, LLC
• Lhpcs Professional Services LLC
• Lian Jie Li, MD
• Rachel Liebman, D.O.
• Clifford G Lisman, DMD
• Karen Llanos, OTR, CHT
• Robert Joseph Lo Giudice, D.M.D.
• Frank T Lombardi, DO
• Deborah Long, LSW

• Clinic/Center in Phillipsburg, NJ
• Providers in Phillipsburg, NJ by specialty
• Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.