New Life Medical

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

137887 Issued in NJ

Legal business name

NEW LIFE MEDICAL

Practice address

801 Broadway # 803
Bayonne, NJ 07002-2920

Phone

(917) 892-6141

NPI assigned

Nov 16, 2006

Last updated

Aug 6, 2008By 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

Dr. Zarina Mandelblat, MD

Title

MD

Phone

(917) 892-6141

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217980800000",
    "number": "1659444727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 351154",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112358954",
            "telephone_number": "917-892-6141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 BROADWAY # 803",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070022920",
            "telephone_number": "917-892-6141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2008-08-06",
        "status": "A",
        "authorized_official_last_name": "MANDELBLAT",
        "authorized_official_first_name": "ZARINA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "917-892-6141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "137887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0068713",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• New Jersey Imaging Associates, PC
• New Jersey Institute of Balance, LLC
• New Jersey Professional Medical Services LLC
• New Jersey Spine & Pain Institute LLC
• New Jersey Spine and Pain Institute LLC
• New Pathway Counseling Services
• Lindsey Hoang-VI Nguyen, DO
• Michael John Nicholson, DO
• Maria E. Nieves, NP
• Khuld Nihan, MD

• Internal Medicine Physician in Bayonne, NJ
• Providers in Bayonne, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2008; 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.