NPIMap

Organization Active NPI

Lifespan Healthcare Associates, LLC

  • Rehabilitation Practitioner
  • Bordentown, NJ
National Provider Identifier
1619465226
Registry record updated Apr 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
Legal business name
LIFESPAN HEALTHCARE ASSOCIATES, LLC
Practice address
80 Creekwood Dr
Bordentown, NJ 08505-4811
Phone
(973) 801-6424
NPI assigned
Apr 29, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2018

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

Authorized official

Name
Uchenna OnunkwoNPI 1083832695
Title
Managing Owner
Phone
(973) 801-6424

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 225400000X Primary
Rehabilitation Clinic/Center 261QR0400X

Addresses

Primary practice location

80 Creekwood Dr
Bordentown, NJ 08505-4811

Mailing address

80 Creekwood Dr
Bordentown, NJ 08505-4811
Phone (973) 801-6424

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1524960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524960000000",
    "number": "1619465226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 CREEKWOOD DR",
            "city": "BORDENTOWN",
            "state": "NJ",
            "postal_code": "085054811",
            "telephone_number": "973-801-6424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 CREEKWOOD DR",
            "city": "BORDENTOWN",
            "state": "NJ",
            "postal_code": "085054811",
            "telephone_number": "973-801-6424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESPAN HEALTHCARE ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-29",
        "last_updated": "2018-04-29",
        "status": "A",
        "authorized_official_last_name": "ONUNKWO",
        "authorized_official_first_name": "UCHENNA",
        "authorized_official_title_or_position": "MANAGING OWNER",
        "authorized_official_telephone_number": "973-801-6424"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bordentown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2018; 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.