Organization Active NPI

Healthy Ewl PC

  • Obesity Medicine (Family Medicine) Physician
  • Morristown, NJ
National Provider Identifier
1801319496
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity Medicine (Family Medicine) PhysicianTaxonomy code 207QB0002X
License
MA061479 Issued in NJ
Legal business name
HEALTHY EWL PC
Practice address
95 Madison Ave Ste A06
Morristown, NJ 07960-7365
Phone
(973) 998-9833
Fax
(973) 998-9832
NPI assigned
Jul 25, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Michael Jay Nusbaum, MDNPI 1265460554
Title
Owner/President
Phone
(973) 998-9833

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obesity Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QB0002X MA061479 NJ Primary

Addresses

Primary practice location

95 Madison Ave Ste A06
Morristown, NJ 07960-7365

Mailing address

197 Ridgedale Ave Ste 160
Cedar Knolls, NJ 07927-2108
Phone (973) 998-9833

National Provider Directory

National Provider Directory

Locations

95 Madison Ave
Ste A06
Morristown, NJ 07960
Phone (973) 993-7100

Practitioners & affiliated clinicians

Practitioners 1

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": "1500940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1801319496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "197 RIDGEDALE AVE STE 160",
            "city": "CEDAR KNOLLS",
            "state": "NJ",
            "postal_code": "079272108",
            "telephone_number": "973-998-9833",
            "fax_number": "973-998-9832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 MADISON AVE STE A06",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079607365",
            "telephone_number": "973-998-9833",
            "fax_number": "973-998-9832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY EWL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-25",
        "last_updated": "2022-07-21",
        "certification_date": "2021-06-22",
        "status": "A",
        "authorized_official_last_name": "NUSBAUM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "973-998-9833",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QB0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Obesity Medicine",
            "state": "NJ",
            "license": "MA061479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.