{"npi":"1134563802","type":"NPI-2","status":"active","name":{"display":"New Lifestyle Medical PA","other":[],"organization_name":"NEW LIFESTYLE MEDICAL PA","authorised_official":"Igor Gefter"},"specialty":{"primary_taxonomy":"2084A0401X","primary_taxonomy_description":"Addiction Medicine (Psychiatry & Neurology) Physician","slug":"addiction-medicine-psychiatry-neurology-physician","schema_org_specialty":null,"all":[{"code":"207QA0000X","description":"Adolescent Medicine (Family Medicine) Physician","primary":false,"state":"NJ","license":"25MA06438600"},{"code":"207QA0401X","description":"Addiction Medicine (Family Medicine) Physician","primary":false,"state":"NJ","license":"25MA06438600"},{"code":"207QA0505X","description":"Adult Medicine Physician","primary":false,"state":"NJ","license":"25MA06438600"},{"code":"207QG0300X","description":"Family Medicine, Geriatric Medicine","primary":false,"state":"NJ","license":"25MA06438600"},{"code":"2084P0005X","description":"Neurodevelopmental Disabilities Physician","primary":false,"state":"NJ","license":"25MA05661500"},{"code":"2084P0015X","description":"Psychosomatic Medicine Physician","primary":false,"state":"NJ","license":"25MA05661500"},{"code":"2084P0800X","description":"Psychiatry","primary":false,"state":"NJ","license":"25MA05661500"},{"code":"2084P0802X","description":"Addiction Psychiatry","primary":false,"state":"NJ","license":"25MA05661500"},{"code":"2084A0401X","description":"Addiction Medicine (Psychiatry & Neurology) Physician","primary":true,"state":"NJ","license":"25MA05661500"}]},"addresses":[{"purpose":"LOCATION","street_1":"19-21 FAIR LAWN AVE","city":"FAIR LAWN","state":"NJ","postal_code":"074102331","country_code":"US","street_2":"STE 2E","phone":"2014688808","fax":"2018152520"},{"purpose":"MAILING","street_1":"19-21 FAIR LAWN AVE","city":"FAIR LAWN","state":"NJ","postal_code":"074102331","country_code":"US","street_2":"STE 2E","phone":"2014688808","fax":"2018152520"}],"license":{"state":"NJ","number":"25MA05661500"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"0348341","state":"NJ","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2013-04-24","last_updated":"2015-01-09","_meta":{"source":"NPPES","snapshot_date":"2015-01-09","doc_url":"https://findmynpi.com/api"}}