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Organization

New Lifestyle Medical PA

NPI Record: ActivePsychiatry & Neurology — Addiction Medicine
NPI1134563802
Fair Lawn, New Jersey

Provider's NPPES record last updated: January 9, 2015

Overview

Entity Type
Organization
NPI
1134563802
Primary Specialty
Psychiatry & Neurology — Addiction Medicine
Practice Location
Fair Lawn, New Jersey
Organization Subpart
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 17, 2026, 11:48 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Psychiatry & Neurology

    Addiction Medicine

    Allopathic & Osteopathic Physicians

    Primary

    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

    Taxonomy code 2084A0401X
  • Family Medicine

    Adolescent Medicine

    Allopathic & Osteopathic Physicians

    A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.

    Taxonomy code 207QA0000X
  • Family Medicine

    Addiction Medicine

    Allopathic & Osteopathic Physicians

    A family medicine physician who specializes in the diagnosis and treatment of addictions.

    Taxonomy code 207QA0401X
  • Family Medicine

    Adult Medicine

    Allopathic & Osteopathic Physicians

    The NUCC recommends this code not be used. Choose a more appropriate code.

    Taxonomy code 207QA0505X
  • Family Medicine

    Geriatric Medicine

    Allopathic & Osteopathic Physicians

    A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

    Taxonomy code 207QG0300X
  • Psychiatry & Neurology

    Neurodevelopmental Disabilities

    Allopathic & Osteopathic Physicians

    A neurologist who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions.

    Taxonomy code 2084P0005X
  • Psychiatry & Neurology

    Psychosomatic Medicine

    Allopathic & Osteopathic Physicians

    Psychosomatic Medicine is subspecialty in the diagnosis and treatment of psychiatric disorders and symptoms in complex medically ill patients. This subspecialty includes treatment of patients with acute or chronic medical, neurological, obstetrical or surgical illness in which psychiatric illness is affecting their medical care and/or quality of life such as HIV infection, organ transplantation, heart disease, renal failure, cancer, stroke, traumatic brain injury, high-risk pregnancy and COPD, among others. Patients also may be those who have a psychiatric disorder that is the direct consequence of a primary medical condition, or a somatoform disorder or psychological factors affecting a general medical condition. Psychiatrists specializing in Psychosomatic Medicine provide consultation-liaison services in general medical hospitals, attend on medical psychiatry inpatient units, and provide collaborative care in primary care and other outpatient settings.

    Taxonomy code 2084P0015X
  • Psychiatry & Neurology

    Psychiatry

    Allopathic & Osteopathic Physicians

    A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

    Taxonomy code 2084P0800X
  • Psychiatry & Neurology

    Addiction Psychiatry

    Allopathic & Osteopathic Physicians

    Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders.

    Taxonomy code 2084P0802X

Provider-Reported License Information

Psychiatry & Neurology (New Jersey)
25MA05661500
Family Medicine (New Jersey)
25MA06438600
Family Medicine (New Jersey)
25MA06438600
Family Medicine (New Jersey)
25MA06438600
Family Medicine (New Jersey)
25MA06438600
Psychiatry & Neurology (New Jersey)
25MA05661500
Psychiatry & Neurology (New Jersey)
25MA05661500
Psychiatry & Neurology (New Jersey)
25MA05661500
Psychiatry & Neurology (New Jersey)
25MA05661500
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

19-21 Fair Lawn Ave

Ste 2e

Fair Lawn, New Jersey 07410-2331

Phone: (201) 468-8808

Record Information

Enumeration Date
April 24, 2013
Provider's NPPES Record Last Updated
January 9, 2015
NPISignal NPPES Dataset
August 2026

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