OrganizationActive
New Lifestyle Medical PA
NPI 1134563802 · Addiction Medicine (Psychiatry & Neurology) Physician · Fair Lawn, NJ
Provider details
- NPI number
- 1134563802
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Psychiatry & Neurology) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Igor Gefter, Medical Director
- License
- 25MA06438600 (NJ)
Practice location
19-21 Fair Lawn Ave
Ste 2e
Fair Lawn, NJ 07410-2331
Phone: (201) 468-8808
Fax: (201) 815-2520
Mailing address
19-21 Fair Lawn Ave
Fair Lawn, NJ 07410-2331
Registry dates
- Enumerated
- 2013-04-24
- Last updated
- 2015-01-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.