METABOLIC WELLNESS AND LONGEVITY INSTITUTE LLC (NPI# 1780004465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780004465 |
| Entity Type | Organization |
| Organization Name | METABOLIC WELLNESS AND LONGEVITY INSTITUTE LLC |
| Practice Address |
266 King George Rd Suite H Warren NJ 07059-5120 |
| Practice Telephone | 9086269200 |
| Practice Fax Number | 9086269203 |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2014-06-25 |
| Authorized Official Name | DR. LAKSHMI PRASAD (MANAGER) |
| Authorized Official Telephone | 9086269200 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | MA069475 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
266 KING GEORGE RD SUITE H |
| City | WARREN |
| State | NJ |
| Zip Code | 07059-5120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376518407 | Raymond Lanza | Internal Medicine | 266 King George Rd, Suite F, Warren, NJ 07059-5120 | 2006-02-22 |
| 1679959274 | Associates In Infectious Diseases and Travel Medicine LLC | Internal Medicine | 266 King George Rd, Suite D, Warren, NJ 07059-5120 | 2015-08-05 |
| 1083006621 | Jennifer Rochelle Jones | Counselor | 266 King George Rd, Warren, NJ 07059-5120 | 2015-02-18 |
| 1811243439 | Susan Liebross | Occupational Therapist | 266 King George Rd, Warren, NJ 07059-5120 | 2012-08-01 |
| 1265794440 | Rakhee J Krishna | Psychologist | 266 King George Rd, Warren, NJ 07059-5186 | 2012-06-13 |
| 1093080731 | Kristen Forgione | Speech-Language Pathologist | 266 King George Rd, Warren, NJ 07059-5120 | 2012-03-13 |
| 1053683557 | Primehealth Preferred LLC | Internal Medicine | 266 King George Rd, Suite F, Warren, NJ 07059-5120 | 2012-01-31 |
| 1285904003 | Lavinia D. Stoicescu | Specialist | 266 King George Rd, Warren, NJ 07059-5120 | 2012-01-10 |
| 1578849378 | Bright Star Therapy L.L.C. | Social Worker | 266 King George Rd, Warren, NJ 07059-5120 | 2011-10-25 |
| 1326374158 | Michelle Cook | Occupational Therapist | 266 King George Rd, Warren, NJ 07059-5120 | 2009-10-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245680826 | Brightview Warren, LLC | Alzheimer Center (Dementia Center) | 55 Mt. Bethel Road, Warren, NJ 07059 | 2016-06-15 |
| 1245617786 | Mt Bethel Day Program LLC | Clinic/Center | 67 Mountain Blvd, Suite 201, Warren, NJ 07059 | 2015-05-05 |
| 1831509413 | Chandana Pande | Internal Medicine | 34 Moutain Blvd, Warren, NJ 07059 | 2014-05-05 |
| 1740624121 | Prakhar Mehrotra | Dentist | 58 Mount Bethel Rd Ste 202, Warren, NJ 07059 | 2013-04-29 |
| 1558680231 | International Healthcare of Nj | Specialist | 3 Tiffanys Way, Warren, NJ 07059 | 2010-05-20 |
| 1740430495 | Danielle Lynnette Neumann | Physical Therapist | 247 King George Rd, Warren, NJ 07059 | 2008-09-30 |
| 1831358381 | Linda Zhang | Ophthalmology | 65 Mountain Blvd. Ext, Ste. 105, Warren, NJ 07059 | 2008-06-09 |
| 1356515597 | Tiffany Lynn Scott | Pediatrics | 76 Stirling Rd., Suite 201, Warren, NJ 07059 | 2008-04-18 |
| 1710011283 | Vincent Frederick Colon | Psychiatry & Neurology | 161 Washington Valley Road, Suite #206, Warren, NJ 07059 | 2007-03-15 |
| 1972666089 | Kwei Ping Shen Kwei | Dentist | 108 Mt Bethel Rd, Warren, NJ 07059 | 2006-12-19 |
| Find all providers in zip 07059 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316347917 | Gerald F Daneshvar Md Pllc | Internal Medicine | 13201 Stephens Rd Ste F, Warren, MI 48089-4340 | 2014-09-02 |
| 1831509413 | Chandana Pande | Internal Medicine | 34 Moutain Blvd, Warren, NJ 07059 | 2014-05-05 |
| 1457798829 | Manuela Belda Hamaoui | Internal Medicine | 34 Mountain Blvd Bldg C, Warren, NJ 07059-2640 | 2013-05-26 |
| 1124464268 | Kelli Lynne Virgin | Internal Medicine | 11855 E 12 Mile Rd Ste 400, Warren, MI 48093-3471 | 2013-05-16 |
| 1780029074 | Ez Rest Re-hab Center Inc. | Internal Medicine | 25932 Dequindre Rd Ste C, Warren, MI 48091-1071 | 2013-05-01 |
| 1043516636 | Paolo Augusto Salvatore | Internal Medicine | 28 Helen St, Warren, NJ 07059-5817 | 2011-01-31 |
| 1861710154 | Heather Lynn Franke | Internal Medicine | 11885 E 12 Mile Rd Ste 300a, Warren, MI 48093-3467 | 2010-05-11 |
| 1437399326 | Charles Hammond Mcgowen | Internal Medicine | 90 Oak Tree Ln Se, Warren, OH 44484-5611 | 2009-03-05 |
| 1710151782 | Richard M Liss | Internal Medicine | 6 Debby Ln, Warren, NJ 07059-5013 | 2008-04-21 |
| 1679751564 | Hoover Medical Clinic PC | Internal Medicine | 31690 Hoover, Warren, MI 48093 | 2008-02-04 |
| Find all providers in WARREN | ||||
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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.