Lice Lifters Northern New Jersey LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

LICE LIFTERS NORTHERN NEW JERSEY LLC

Practice address

353C US Highway 46
Suite 215
Fairfield, NJ 07004-2437

Phone

(973) 287-6067

NPI assigned

Oct 15, 2012

Last updated

Oct 15, 2012By 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

Lisa R Rafal

Title

Owner

Phone

(973) 287-6067

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1350259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350259200000",
    "number": "1558613562",
    "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": "908-917-1963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353C US HIGHWAY 46",
            "address_2": "SUITE 215",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070042437",
            "telephone_number": "973-287-6067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LICE LIFTERS NORTHERN NEW JERSEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-15",
        "last_updated": "2012-10-15",
        "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": "973-287-6067"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ebbeny Jewel Lewis
• Karen Wood Liberato, LCSW, MSW
• Joseph Brian Liotti, D.O., FAOASM
• Linda R Liotti, D.O.
• Lisa G., SLP
• Kasey Meagan Litwin, BS
• Bill Liu

• Health Service Clinic/Center in Fairfield, NJ
• Providers in Fairfield, 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 Oct 15, 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.