Medicor Lifestyle Medicine, P.a

Primary specialty

Registered DietitianTaxonomy code 133V00000X

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

May 13, 2019

Organization subpart

Yes

Parent organization

MEDICOR LIFESTYLE MEDICINE, P.AAs reported in NPPES

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

Authorized official

Name

Viktoriya Benis

Title

Billing Manager

Phone

(908) 243-5004

Specialties & licenses 1

Addresses

Part of

Medicor Lifestyle Medicine PA

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Medicor Lifestyle Medicine, P.a

  • Cardiac Rehabilitation Registered Nurse
  • Hillsborough, NJ
  • NPI 1831678887
  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": "1557705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557705600000",
    "number": "1922664259",
    "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": "YES",
        "parent_organization_legal_business_name": "MEDICOR LIFESTYLE MEDICINE, P.A",
        "enumeration_date": "2019-05-13",
        "last_updated": "2019-05-13",
        "status": "A",
        "authorized_official_last_name": "BENIS",
        "authorized_official_first_name": "VIKTORIYA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "908-243-5004"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 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
• Gabriella Melahn, PA-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2019; 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.