Life Medical Group, PC
Clinic/Center, Multi-Specialty in East Hanover, New Jersey
1134939333- Practice location
- 120 Eagle Rock Ave Ste 200, East Hanover, NJ 07936-3159
- Phone
- 973-607-4911
- Fax
- 973-607-4911
- Last updated
- July 15, 2026
Life Medical Group, PC is a healthcare organization based in East Hanover, NJ. Life Medical Group, PC practices in East Hanover, NJ. The NPI Number for Life Medical Group, PC is 1134939333. The current practice location address for Life Medical Group, PC is 120 Eagle Rock Ave Ste 200, East Hanover, NJ 07936-3159 and can be reached out via phone at 973-607-4911 and via fax at 973-607-4911.
Provider Profile Details
- NPI Number
- 1134939333
- Provider Name
- Life Medical Group, PC
- Provider Entity Type
- Organization
- Address
- 120 Eagle Rock Ave Ste 200, East Hanover, NJ 07936-3159
- Phone Number
- 973-607-4911
- Fax Number
- 973-607-4911
- Primary Taxonomy
- Clinic/Center, Multi-Specialty · 261QM1300X
- Organization Subpart
- No
- Authorized Official
- Dr. Mark A Merlin · Chief Medical Officer · 973-650-0342
- Provider Enumeration Date
- January 9, 2025
- Last Update Date
- July 15, 2026
- Certification Date
- July 15, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 120 Eagle Rock Ave Ste 200
East Hanover, NJ 07936-3159 - City
- East Hanover
- State
- New Jersey
- Zip
- 07936-3159
- Phone Number
- 973-607-4911
- Fax Number
- 973-607-4911
Provider Business Mailing Address Details
- Address
- 120 Eagle Rock Ave Ste 200
East Hanover, NJ 07936-3159 - City
- East Hanover
- State
- NJ
- Zip
- 07936-3159
- Phone Number
- 973-607-4911
- Fax Number
- 973-607-4911
License Information
- Taxonomy (1)
- Emergency Medicine · 207P00000X
- Taxonomy (2)
- Family Medicine · 207Q00000X
- Taxonomy (3)
- Spec/Tech, Pathology, Laboratory Management · 246QL0900X
- Taxonomy (4)
- Home Health · 251E00000X
- Taxonomy (5)
- Clinic/Center, Multi-Specialty · 261QM1300X · Primary
- Taxonomy (6)
- Clinic/Center, Urgent Care · 261QU0200X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Life Medical Group, PC?
The NPI number of Life Medical Group, PC is 1134939333. It was assigned on January 9, 2025 and is currently active in the NPPES registry.
What is the specialty of Life Medical Group, PC?
Life Medical Group, PC is registered under the primary taxonomy Clinic/Center, Multi-Specialty (code 261QM1300X).
Where does Life Medical Group, PC practice?
The practice location is 120 Eagle Rock Ave Ste 200, East Hanover, NJ 07936-3159. The office can be reached at 973-607-4911 (phone) or 973-607-4911 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1134939333 directly on the NPPES registry website.