Organization Active NPI

Enlyv Me Inc

  • Endocrinology, Diabetes & Metabolism Physician
  • Bridgewater, NJ
National Provider Identifier
1063280121
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
ENLYV ME INC
Practice address
19 Monroe St
Bridgewater, NJ 08807-3043
Phone
(908) 505-2327
NPI assigned
Dec 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Vivek Bansal, MDNPI 1831369701
Title
Owner
Phone
(908) 895-8700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X Primary

Addresses

Primary practice location

19 Monroe St
Bridgewater, NJ 08807-3043

Mailing address

14 Rolins Mill Rd
Flemington, NJ 08822-4540
Phone (908) 505-2327

Other practice location 1

2 State Route 27 Ste 508
Edison, NJ 08820-3961
Phone (908) 505-2327

Other practice location 2

5 Walter E Foran Blvd Ste 4000
Flemington, NJ 08822-4675
Phone (908) 505-2327

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1702857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702857600000",
    "number": "1063280121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 ROLINS MILL RD",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088224540",
            "telephone_number": "908-505-2327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 MONROE ST",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088073043",
            "telephone_number": "908-505-2327"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 State Route 27 Ste 508",
            "address_purpose": "LOCATION",
            "city": "Edison",
            "state": "NJ",
            "postal_code": "088203961",
            "country_code": "US",
            "telephone_number": "908-505-2327",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5 Walter E Foran Blvd Ste 4000",
            "address_purpose": "LOCATION",
            "city": "Flemington",
            "state": "NJ",
            "postal_code": "088224675",
            "country_code": "US",
            "telephone_number": "908-505-2327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ENLYV ME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-18",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-07",
        "status": "A",
        "authorized_official_last_name": "BANSAL",
        "authorized_official_first_name": "VIVEK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-895-8700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgewater, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.