LIVE LIFE NOW HEALTH GROUP OF NJ PC – NPI #1215566393
Family Medicine

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

Health Care Provider Taxonomy Code for Family Medicine

LIVE LIFE NOW HEALTH GROUP OF NJ PC is a provider located in MOUNT LAUREL, NJ. NPPES has assigned the NPI number 1215566393 to LIVE LIFE NOW HEALTH GROUP OF NJ PC on April 02, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207QA0401X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Addiction Medicine

The NPI profile was last updated on Feb 11, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LIVE LIFE NOW HEALTH GROUP OF NJ PC below.

NPI Profile for
LIVE LIFE NOW HEALTH GROUP OF NJ PC

NPI Number
1215566393
Enumeration Date

(more than 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LIVE LIFE NOW HEALTH GROUP OF NJ PC
Primary location
309 FELLOWSHIP RD STE 200
MOUNT LAUREL, NJ 08054-1234
Phone: (646) 960-3553 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
VICKY DIAZ
INSURANCE OPERATIONS MANAGER
Phone: (917) 529-2030
Updated
Certification Date
Feb 11, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QA0401X
- Family Medicine / Addiction Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.