Organization provider

NEW LIFESTYLE MEDICAL PA

Adolescent Medicine (Family Medicine) Physician Addiction Medicine (Family Medicine) Physician Adult Medicine Physician

NEW LIFESTYLE MEDICAL PA is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1134563802, based in Fair Lawn, NJ. The organization lists 9 taxonomy classifications, with Addiction Medicine (Psychiatry & Neurology) Physician recorded as primary.

Getting there

The practice address on file is 19-21 FAIR LAWN AVE STE 2E, Fair Lawn, NJ 07410. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

19-21 FAIR LAWN AVE STE 2E, Fair Lawn, NJ 07410 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
25MA06438600 NJ Adolescent Medicine (Family Medicine)…
25MA06438600 NJ Addiction Medicine (Family Medicine)…
25MA06438600 NJ Adult Medicine Physician
25MA06438600 NJ Geriatric Medicine (Family Medicine)…
25MA05661500 NJ Neurodevelopmental Disabilities Physician
25MA05661500 NJ Psychosomatic Medicine Physician
25MA05661500 NJ Psychiatry Physician
25MA05661500 NJ Addiction Psychiatry Physician
25MA05661500 NJ Addiction Medicine (Psychiatry &… primary

This provider holds licence 25MA06438600 issued in NJ. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

What Addiction Medicine covers

A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine NUCC Health Care Provider Taxonomy, code 2084A0401X
Allopathic & Osteopathic Physicians Psychiatry & Neurology Addiction Medicine

All registered taxonomy codes

This provider registers 9 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207QA0000X Adolescent Medicine (Family Medicine) Physician Adolescent Medicine 25MA06438600 NJ
207QA0401X Addiction Medicine (Family Medicine) Physician Addiction Medicine 25MA06438600 NJ
207QA0505X Adult Medicine Physician Adult Medicine 25MA06438600 NJ
207QG0300X Geriatric Medicine (Family Medicine) Physician Geriatric Medicine 25MA06438600 NJ
2084P0005X Neurodevelopmental Disabilities Physician Neurodevelopmental Disabilities 25MA05661500 NJ
2084P0015X Psychosomatic Medicine Physician Psychosomatic Medicine 25MA05661500 NJ
2084P0800X Psychiatry Physician Psychiatry 25MA05661500 NJ
2084P0802X Addiction Psychiatry Physician Addiction Psychiatry 25MA05661500 NJ
2084A0401X Addiction Medicine (Psychiatry & Neurology) Physician Addiction Medicine 25MA05661500 NJ primary

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1134563802 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateApr 24, 2013
Last updatedJan 9, 2015
StatusActive
Practice address 19-21 FAIR LAWN AVE
STE 2E
Fair Lawn, NJ 07410
(201) 468-8808
Fax (201) 815-2520
Other identifiers 0348341 · Medicaid (NJ)
This record was last updated on Jan 9, 2015, roughly 11 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1134563802 passes the NPI check digit test The final digit 2 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 3 4 5 6 3 8 0
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 6 4 1 6 6 8 0

Sum = 58 · next multiple of 10 = 60 · check digit = 2 · actual last digit = 2

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1134563802?
NPI 1134563802 is the National Provider Identifier assigned to NEW LIFESTYLE MEDICAL PA in Fair Lawn, NJ. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Addiction Medicine cover?
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
How do I contact NEW LIFESTYLE MEDICAL PA?
The phone number on file with NPPES is (201) 468-8808, last updated Jan 9, 2015. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1134563802 a valid number?
Yes. 1134563802 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.