LILLIAN ALT MD (NPI# 1508362658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508362658 |
| Entity Type | Organization |
| Organization Name | LILLIAN ALT MD |
| Practice Address |
330 Changebridge Rd Pine Brook NJ 07058-9839 |
| Practice Telephone | 9738309813 |
| Mailing Telephone | 9738309813 |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2018-04-05 |
| Authorized Official Name | LILLIAN ALT (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7323201888 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RB0002X |
Internal Medicine Specialization: Obesity Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207K00000X | Allergy & Immunology | Allopathic & Osteopathic Physicians | ||
| N | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
330 CHANGEBRIDGE RD |
| City | PINE BROOK |
| State | NJ |
| Zip Code | 07058-9839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578545042 | Julie Powell | Social Worker | 330 Changebridge Rd, 101, Pine Brook, NJ 07058-9839 | 2005-11-18 |
| 1508288465 | Self Empowering Journeys, LLC | Marriage & Family Therapist | 330 Changebridge Rd, Montville Executive Suites, Pine Brook, NJ 07058-9839 | 2014-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740746296 | Stephanie Dorime | Pharmacist | 19 Chapin Road, Building D, Ste D7, Pine Brook, NJ 07058 | 2019-02-20 |
| 1083182018 | Lisa Sebro | Social Worker | 3226 Rachel Ter, Pine Brook, NJ 07058 | 2018-11-07 |
| 1245747187 | Angelsense Inc. | Emergency Response System Companies | 30 Chapin Rd Ste 1201, Pine Brook, NJ 07058 | 2018-01-01 |
| 1174042220 | 121 Learning Works, LLC | Day Training, Developmentally Disabled Services | 300 Changebridge Road, Suite 101, Pine Brook, NJ 07058 | 2017-09-10 |
| 1669558896 | Thomas William Sudol | Dentist | 272 Change Bridge Road, Pine Brook, NJ 07058 | 2006-10-31 |
| 1477521771 | Arcadian Healthcare Inc | Durable Medical Equipment & Medical Supplies | 45 Us Highway 46 East, Unit 606, Pine Brook, NJ 07058 | 2006-03-10 |
| 1447760814 | P4 Clinical LLC | Pathology | 25 Riverside Dr, Pine Brook, NJ 07058 | 2017-10-11 |
| 1043532682 | Nancy A Bayda | Pharmacist | 45 Route 46 East, Suite 609, Pine Brook, NJ 07058 | 2010-02-24 |
| 1194091405 | Michelle J Evans | Speech-Language Pathologist | 1700 Rachel Ter Apt 14, Pine Brook, NJ 07058-9305 | 2012-03-30 |
| 1851888465 | Sophie Pierre-louis | Speech-Language Pathologist | 2100 Rachel Ter Apt 15, Pine Brook, NJ 07058-9329 | 2018-04-18 |
| Find all providers in zip 07058 | ||||
| Taxonomy Code | 207RA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Addiction Medicine |
| An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407324940 | Omni Healthcare Services Inc. | Internal Medicine | 184 S Livingston Ave # 9272, Livingston, NJ 07039-3014 | 2018-11-02 |
| 1811388416 | Walnut Medical Group LLC | Internal Medicine | 60 Walnut Ave Ste 200, Clark, NJ 07066-1647 | 2015-02-18 |
| 1538474408 | Jerry Thomas Md and Associates | Internal Medicine | 134-6 Franklin Corner Road, Lawrenceville, NJ 08648-5246 | 2010-08-16 |
| 1811151269 | Joseph Durso Coffineau | Internal Medicine | 336 S Pitney Rd, Galloway, NJ 08205-9628 | 2008-07-15 |
| 1619051711 | David Canavan | Internal Medicine | Professional Assistance Program of Nj, 742 Alexander Road, Princeton, NJ 08650 | 2006-10-25 |
| 1245345743 | Michael S Deshields | Internal Medicine | 801 New York Ave, Trenton, NJ 08638-3913 | 2006-08-21 |
| 1285674010 | Peter O Kuponiyi | Internal Medicine | 2626 Tilton Rd, Egg Harbor Township, NJ 08234-1829 | 2006-06-08 |
| 1588647143 | David P Russo | Internal Medicine | 133 Polk Ln, Bridgeton, NJ 08302-5905 | 2005-11-28 |
| 1013475953 | Rejuvenation Center for Mind and Body | Internal Medicine | 555 Preakness Ave, Totowa, NJ 07502-1012 | 2019-03-11 |
| 1154851475 | Admed Centers LLC | Internal Medicine | 152 Central Ave, Clark, NJ 07066-1115 | 2017-06-19 |
| Find all providers with the same taxonomy | ||||
| City | PINE BROOK |
| Zip Code | 07058 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.