Organization Active NPI

Rejuvenations LV LLC

  • Public Health & General Preventive Medicine Physician
  • Easton, PA
National Provider Identifier
1699420695
Registry record updated Feb 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
Legal business name
REJUVENATIONS LV LLC
Practice address
190 S. Greenwood Ave Unit 2
Easton, PA 18045-2548
Phone
(610) 438-2578
Fax
(610) 438-2633
NPI assigned
Feb 17, 2022
Last updated
Feb 17, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2022

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

Authorized official

Name
Dr. Rchard J Schaller, MD
Title
Medical Director
Phone
(610) 438-2578

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine Physician 2083P0901X NU Primary

Addresses

Primary practice location

190 S. Greenwood Ave Unit 2
Easton, PA 18045-2548

Mailing address

190 S. Greenwood Ave Unit 2
Easton, PA 18045-2548
Phone (610) 438-2578

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2258790Rejuvenations LV, LLC190 S Greenwood Ave Unit 2, Easton, PA 18045Certificate of waiverApr 26, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1645056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645056000000",
    "number": "1699420695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 S. GREENWOOD AVE UNIT 2",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180452548",
            "telephone_number": "610-438-2578",
            "fax_number": "610-438-2633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 S. GREENWOOD AVE UNIT 2",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180452548",
            "telephone_number": "610-438-2578",
            "fax_number": "610-438-2633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REJUVENATIONS LV LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-17",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A",
        "authorized_official_last_name": "SCHALLER",
        "authorized_official_first_name": "RCHARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "610-438-2578",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; 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.