Active NPI
New Life Addiction Treatment Center
- Substance Abuse Rehabilitation Facility
- Port St Lucie, FL
National Provider Identifier
1881966190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- License
- 1956AD877101
- Legal business name
- NEW LIFE ADDICTION TREATMENT CENTER
- Practice address
- 905 E Prima Vista Blvd
Suite D
Port St Lucie, FL 34952-2359 - Phone
- (855) 337-8500
- Fax
- (772) 337-8505
- NPI assigned
- Feb 1, 2012
- Organization subpart
- Yes
- Parent organization
- NEURODIAGNOSTICS OF STUART, PA
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jose Toledo, M.D.
- Title
- Ceo & Medical Director
- Phone
- (772) 919-1422
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | 1956AD877101 | FL | Primary |
Addresses
Primary practice location
905 E Prima Vista Blvd
Suite D
Port St Lucie, FL 34952-2359
Mailing address
905 E Prima Vista Blvd
Suite D
Port St Lucie, FL 34952-2359
Phone (855) 337-8500
National Provider Directory
National Provider Directory- Part of
- Neurodiagnostics of Stuart
Locations
905 E Prima Vista Blvd
Ste D
Port St Lucie, FL 34952
Phone (855) 337-8500
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology Physician
- Stuart, FL
- NPI 1215049200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328054400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1328054400000",
"number": "1881966190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "905 E PRIMA VISTA BLVD",
"address_2": "SUITE D",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349522359",
"telephone_number": "855-337-8500",
"fax_number": "772-337-8505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "905 E PRIMA VISTA BLVD",
"address_2": "SUITE D",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349522359",
"telephone_number": "855-337-8500",
"fax_number": "772-337-8505"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW LIFE ADDICTION TREATMENT CENTER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NEURODIAGNOSTICS OF STUART, PA",
"enumeration_date": "2012-02-01",
"last_updated": "2012-02-01",
"status": "A",
"authorized_official_last_name": "TOLEDO",
"authorized_official_first_name": "JOSE",
"authorized_official_title_or_position": "CEO & MEDICAL DIRECTOR",
"authorized_official_telephone_number": "772-919-1422",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "FL",
"license": "1956AD877101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.