LIVE LIFE NOW HEALTH GROUP OF NJ PC (NPI# 1215566393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215566393 |
| Entity Type | Organization |
| Organization Name | LIVE LIFE NOW HEALTH GROUP OF NJ PC |
| Practice Address |
309 Fellowship Rd Ste 200 Mount Laurel NJ 08054-1234 |
| Practice Telephone | 8458214574 |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2020-04-02 |
| Authorized Official Name | DR. ABRAHAM MALKIN (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8458214574 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Monument Inc | Doing Business As Name - Organization |
| Street Address |
309 FELLOWSHIP RD STE 200 |
| City | MOUNT LAUREL |
| State | NJ |
| Zip Code | 08054-1234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861994634 | Caring for Your Needs Support Services LLC | Case Management | 309 Fellowship Rd Ste 200, Mount Laurel, NJ 08054-1234 | 2018-03-07 |
| 1013538974 | Rosa Zenquis-mckoy LLC | Community/Behavioral Health | 309 Fellowship Rd Ste 200, Mount Laurel, NJ 08054-1234 | 2020-05-01 |
| 1619430162 | Journey Into Wellness LLC | Counselor | 309 Fellowship Rd Ste 200, Mount Laurel, NJ 08054-1234 | 2019-04-11 |
| 1134602816 | Argus Monitoring Associates LLC | Specialist | 309 Fellowship Rd Ste 200, Mount Laurel, NJ 08054-1234 | 2018-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841837267 | Samantha Leafey | Behavior Technician | 800 Birchfield Dr., 801, Mount Laurel, NJ 08054 | 2019-12-04 |
| 1306403522 | A-1 Support Coordination Nj | Case Management | 1504 Larchmont Place, Mount Laurel, NJ 08054 | 2019-05-22 |
| 1285129080 | Lincoln Healthcare of New Jersey, LLC | Home Health | 309 Fellowship Rd Ste 100, Mount Laurel, NJ 08054 | 2018-06-25 |
| 1295238400 | Verus Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 200 E Park Dr Ste 600a, Mount Laurel, NJ 08054 | 2018-03-14 |
| 1003323387 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 73 Fellowship, Mt Laurel, NJ 08054 | 2018-01-08 |
| 1750893954 | Tishanna D Majette Phd Corporation | Psychologist | 3000 Atrium Way Ste 200, Mount Laurel, NJ 08054 | 2017-10-27 |
| 1700304706 | Arc of Camden County Essex Lane Supported Living | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5320 Essex Lane, Mt. Laurel, NJ 08054 | 2017-08-30 |
| 1417472861 | Maggie Garin | Dietitian, Registered | 15000 Midlantic Avenue, Suite 101, Mount Laurel, NJ 08054 | 2017-08-07 |
| 1891225363 | New Jersey Lice Treatment LLC | Technician, Other | 500 Birchfield Dr, Suite 503-a, Mount Laurel, NJ 08054 | 2017-06-15 |
| 1225563927 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 761 Grant Ave, Mt Laurel, NJ 08054 | 2017-05-01 |
| Find all providers in zip 08054 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487141883 | Genesis Addiction and Behavioral Medicine, LLC | Family Medicine | 61 Spring St Ste 3, Newton, NJ 07860-2072 | 2018-04-20 |
| 1336497106 | Yolanda I Dagnino | Family Medicine | 39 Anderson Pkwy, Cedar Grove, NJ 07009-1111 | 2012-08-27 |
| 1386803989 | Emmanuel Nebechukwu Ekulide | Family Medicine | 43 Progress Street, Suburban Treatment Associates, Union, NJ 07083 | 2008-06-09 |
| 1467642736 | Affiliated Medical Service | Family Medicine | 25 E Front St, Keyport, NJ 07735-1562 | 2007-08-01 |
| 1467451823 | Lisa Ann Medvetz | Family Medicine | 1113 Hospital Dr, Suite 100, Willingboro, NJ 08046-1103 | 2005-07-19 |
| 1043825250 | Recovery Wellness Group | Family Medicine | 205 W Parkway Dr, Egg Harbor Township, NJ 08234-5105 | 2020-09-14 |
| 1790329662 | Spero Physicians of New Jersey, PC | Family Medicine | 927 N Main St, Pleasantville, NJ 08232-1451 | 2019-11-04 |
| 1215588447 | South Jersey Medical Associates | Family Medicine | 1580 Route 9 N, Cape May Court House, NJ 08210-1416 | 2019-09-29 |
| 1396303459 | Rodney C. Brunson, Do PC | Family Medicine | 201 Tilton Rd Ste 12, Northfield, NJ 08225-1247 | 2019-06-04 |
| 1427589290 | Comprehensive Wellness, LLC | Family Medicine | 501 Tilton Rd, Egg Harbor City, NJ 08215-5125 | 2017-03-23 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT LAUREL |
| Zip Code | 08054 |
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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.