Organization
NEW LIFESTYLE MEDICAL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IGOR GEFTER M.D. (MEDICAL DIRECTOR)
(201) 468-8808
Entity
Organization
Contact information
Practice address
19-21 FAIR LAWN AVE, STE 2E, FAIR LAWN, NJ 07410-2331
(201) 468-8808
(201) 815-2520
Mailing address
19-21 FAIR LAWN AVE, STE 2E, FAIR LAWN, NJ 07410-2331
(201) 468-8808
(201) 815-2520
Taxonomy
Speciality
Code
Description
License number
State
207QA0000X
Adolescent Medicine (Family Medicine) Physician
25MA06438600
NJ
207QA0401X
Addiction Medicine (Family Medicine) Physician
25MA06438600
NJ
207QA0505X
Adult Medicine Physician
25MA06438600
NJ
207QG0300X
Geriatric Medicine (Family Medicine) Physician
25MA06438600
NJ
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
25MA05661500
NJ
2084P0005X
Neurodevelopmental Disabilities Physician
25MA05661500
NJ
2084P0015X
Psychosomatic Medicine Physician
25MA05661500
NJ
2084P0800X
Psychiatry Physician
25MA05661500
NJ
2084P0802X
Addiction Psychiatry Physician
25MA05661500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0348341
—
NJ
Enumeration date
04/24/2013
Last updated
01/09/2015
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