Lipolaser of South Jersey PC
NPI 1205443405 · General Practice Physician · Marlton, NJ
Lipolaser of South Jersey PC is a General Practice Physician organization in Marlton, NJ (NPI 1205443405).
Provider details
- NPI number
- 1205443405
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Gregory Pistone, Owner(856) 983-3600
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Dermatology Physician207N00000X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Revive Life Treatment Center of South Jersey
Registry dates
- Enumerated
- 2020-09-30
- Last updated
- 2020-09-30
- Certified
- 2020-09-30
Frequently asked questions
- What is Lipolaser of South Jersey PC's NPI number?
- Lipolaser of South Jersey PC's National Provider Identifier (NPI) is 1205443405, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lipolaser of South Jersey PC?
- Lipolaser of South Jersey PC is classified in the NPPES registry as General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Lipolaser of South Jersey PC located?
- Lipolaser of South Jersey PC's practice location on file with NPPES is 100 Centre Blvd Ste 100e, Marlton, NJ 08053-4128.
- What is Lipolaser of South Jersey PC's phone number?
- The practice phone number listed in the NPPES registry for Lipolaser of South Jersey PC is (856) 983-3600.
- Who is the authorized official for Lipolaser of South Jersey PC?
- The authorized official listed on Lipolaser of South Jersey PC's NPPES record is Gregory Pistone, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lipolaser of South Jersey PC's NPI active?
- Yes — Lipolaser of South Jersey PC's NPI (1205443405) is active in the NPPES registry as of the last update on 2020-09-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.