The Enlyv Clinics LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

THE ENLYV CLINICS LLC

Practice address

14 Rolins Mill Rd
Flemington, NJ 08822-4540

Phone

(908) 505-2327

Fax

(877) 651-1384

NPI assigned

Jul 30, 2020

Last updated

Mar 23, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Vivek Bansal, MDNPI 1831369701

Title

Owner

Phone

(908) 505-2327

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FCFCCD

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• All Enlyv Clinics LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Flemington, NJ
  • NPI 1548135841
  NPPES parent name

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vivek Bansal, M.D., MPH, FACE

  • Endocrinology, Diabetes & Metabolism Physician
  • Edison, NJ
  • NPI 1831369701
  Medicare reassignment Care Compare group NPD Authorized official
• Zehra Ali

  • Physician Assistant
  • Florham Park, NJ
  • NPI 1477428407
  Medicare reassignment Care Compare group NPD
• Dhara Patel, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Montclair, NJ
  • NPI 1770103004
  Medicare reassignment Care Compare group NPD
• Saloni Desai, PA-C

  • Physician Assistant
  • Teaneck, NJ
  • NPI 1316389224
  Medicare reassignment Care Compare group
• Karen L Edgecomb, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Bridgewater, NJ
  • NPI 1407101371
  Medicare reassignment Care Compare group
• Elena Procaccini

  • Physician Assistant
  • Flemington, NJ
  • NPI 1437970449
  Medicare reassignment Care Compare group
• Heenal Gandhi, PA

  • Physician Assistant
  • Newark, NJ
  • NPI 1902546468
  Medicare reassignment

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

{
    "created_epoch": "1596067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647993600000",
    "number": "1083223572",
    "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": "14 ROLINS MILL RD",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088224540",
            "telephone_number": "908-505-2327",
            "fax_number": "877-651-1384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ENLYV CLINICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-30",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A",
        "authorized_official_last_name": "BANSAL",
        "authorized_official_first_name": "VIVEK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-505-2327",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vivek.bansal@enlyvclinics.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2 Lincoln Hwy Ste 508",
            "city": "Edison",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "088203961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Theodore J Rosenberg OD PA

• Specialist in Flemington, NJ
• Providers in Flemington, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.