# HEALTHY EWL PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801319496
- **Authorized official:** DR. MICHAEL JAY NUSBAUM MD (OWNER/PRESIDENT)
- **Authorized official phone:** (973) 998-9833

## Contact information

- **Practice address:** 95 MADISON AVE STE A06, MORRISTOWN, NJ 07960-7365
- **Practice address phone:** (973) 998-9833
- **Practice address fax:** (973) 998-9832
- **Mailing address:** 197 RIDGEDALE AVE STE 160, CEDAR KNOLLS, NJ 07927-2108
- **Mailing address phone:** (973) 998-9833
- **Mailing address fax:** (973) 998-9832

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QB0002X | Obesity Medicine (Family Medicine) Physician | MA061479 | NJ | Yes |

## Other

- **Enumeration date:** 07/25/2017
- **Last updated:** 07/21/2022