Organization Active NPI

Lighter for Life

  • Surgery Physician
  • Paramus, NJ
National Provider Identifier
1467418665
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
25MA06782900 Issued in NJ
Legal business name
LIGHTER FOR LIFE
Practice address
140 N Rte 17
Suite 102
Paramus, NJ 07652-2809
Phone
(201) 523-6185
NPI assigned
Apr 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Joseph Kamelgard
Title
President
Phone
(201) 523-6185

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 25MA06782900 NJ Primary

Addresses

Primary practice location

140 N Rte 17
Suite 102
Paramus, NJ 07652-2809

Mailing address

140 N Rte 17
Suite 102
Paramus, NJ 07652-2809
Phone (201) 523-6185

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467418665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 N RTE 17",
            "address_2": "SUITE 102",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076522809",
            "telephone_number": "201-523-6185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 N RTE 17",
            "address_2": "SUITE 102",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076522809",
            "telephone_number": "201-523-6185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTER FOR LIFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KAMELGARD",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-523-6185"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA06782900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.