Medicor Lifestyle Medicine, P.a

Primary specialty

Cardiac Rehabilitation Registered NurseTaxonomy code 163WC3500X

Legal business name

MEDICOR LIFESTYLE MEDICINE, P.A

Practice address

331 US Highway 206
Hillsborough, NJ 08844-4781

Phone

(908) 243-5004

Fax

(908) 904-1403

NPI assigned

Aug 10, 2018

Organization subpart

No

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

Authorized official

Name

Mr. John E Pugh

Title

Executive Director

Phone

(908) 243-5002

Specialties & licenses 1

Addresses

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Medicor Lifestyle Medicine, P.a

  • Registered Dietitian
  • Hillsborough, NJ
  • NPI 1922664259
  NPPES parent name

Practitioners 1

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

• Rachana A Kulkarni, MD

  • Cardiovascular Disease Physician
  • Bridgewater, NJ
  • NPI 1912971185
  NPD

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

{
    "created_epoch": "1533859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533859200000",
    "number": "1831678887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 JACKSON ST",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088073060",
            "telephone_number": "908-243-5004",
            "fax_number": "908-904-1403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 US HIGHWAY 206",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088444781",
            "telephone_number": "908-243-5004",
            "fax_number": "908-904-1403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICOR LIFESTYLE MEDICINE, P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-10",
        "last_updated": "2018-08-10",
        "status": "A",
        "authorized_official_last_name": "PUGH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "908-243-5002",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "163WC3500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Cardiac Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia McLeod, RPH
• Karen McPartland, RD
• MD Express Testing Center LLC
• MDG Hillsborough
• Med Practice LLC
• Medicor Lifestyle Medicine, P.a
• Kimberly Meersma, LSW
• Tejal Mehta
• Angelique Marie Meissner, D.C.
• Danielle Mekler, BCBA

• Registered Nurse in Hillsborough, NJ
• Providers in Hillsborough, NJ by specialty
• Registered Nurse in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.