Lifemd, Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

LIFEMD, INC.

Practice address

3800 N Central Ave Ste 460
Phoenix, AZ 85012-1995

Phone

(800) 852-1575

NPI assigned

Jun 6, 2023

Last updated

Jun 6, 2023By 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

Eric Yecies

Title

Chief Compliance Officer

Phone

(646) 263-3680

Specialties & licenses 2

Addresses

Tax ID family

Lifemd Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Lifemd Inc

  • Multi-Specialty Clinic/Center
  • New York, NY
  • NPI 1801570536
  NPD tax ID

Locations

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

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686009600000",
    "number": "1104510791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 5TH AVE STE 400",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100017606",
            "telephone_number": "800-852-1575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 N CENTRAL AVE STE 460",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850121995",
            "telephone_number": "800-852-1575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 N Brand Blvd",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CA",
            "postal_code": "912032308",
            "country_code": "US",
            "telephone_number": "800-852-1575",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "820 Bear Tavern Rd",
            "address_purpose": "LOCATION",
            "city": "Ewing",
            "state": "NJ",
            "postal_code": "086281021",
            "country_code": "US",
            "telephone_number": "800-852-1575",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "289 S Culver St",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "300464805",
            "country_code": "US",
            "telephone_number": "800-852-1575",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "28 Liberty St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100051400",
            "country_code": "US",
            "telephone_number": "800-852-1575",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "160 Mine Lake Ct Ste 200",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276156417",
            "country_code": "US",
            "telephone_number": "800-852-1575",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 Brazos St Ste 720",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787012556",
            "country_code": "US",
            "telephone_number": "800-852-1575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIFEMD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-06",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A",
        "authorized_official_last_name": "YECIES",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "646-263-3680"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.