Active NPI
Rejuvenations LV LLC
- Public Health & General Preventive Medicine Physician
- Easton, PA
National Provider Identifier
1699420695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health & General Preventive Medicine Physician
- 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, 2022
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D2258790 | Rejuvenations LV, LLC | Certificate of waiver | Apr 26, 2028 |
National Provider Directory
National Provider DirectoryNPI 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
- Scott T Reiman, M. DIV. CADC
- Charles R Reina, M.D.
- Megan Ursula Jude Reinert
- Robert D Reinhart, MD
- Ashley Reiss
- Rejuventions (Rejuvenations)
- Reliant Easton Holdings LLC (Easton Health and Rehabilitation Center)
- Reliant Praxis Holdings, LLC (Praxis Alzheimer's Facility)
- Ren Acupuncture Services
- Lijia Ren, DPT, ACUPUNTURIST
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.