NPIMap

Organization Active NPI

Total Life NJ P.a.

Doing business as Total Life

  • Cognitive & Behavioral Psychologist
  • New Brunswick, NJ
National Provider Identifier
1104659614
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
Legal business name
TOTAL LIFE NJ P.A.
Doing business as
Total Life
Practice address
317 George St Ste 320
New Brunswick, NJ 08901-2091
Phone
(800) 567-5433
Fax
(888) 432-8212
NPI assigned
Aug 21, 2024
Last updated
Jan 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Authorized official

Name
Neelkamal Brar
Title
Authorized Official
Phone
(800) 567-5433

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X NU Primary
Counseling Psychologist 103TC1900X NU
Geriatric Psychiatry Physician 2084P0805X NU

Addresses

Primary practice location

317 George St Ste 320
New Brunswick, NJ 08901-2091

Mailing address

110 Front St Ste 300
Jupiter, FL 33477-5095
Phone (800) 567-5433

Other names 1

  • Total Life Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240923001300 NJ Part B Supplier - Clinic/Group Practice 8921549551 Receives reassigned benefits from 6 practitioners
Practice locations: New Brunswick, NJ
O20240925002558 NY Part B Supplier - Clinic/Group Practice 8921549551 Receives reassigned benefits from 13 practitioners
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1724198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737417600000",
    "number": "1104659614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 FRONT ST STE 300",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334775095",
            "telephone_number": "800-567-5433",
            "fax_number": "888-432-8212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 GEORGE ST STE 320",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089012091",
            "telephone_number": "800-567-5433",
            "fax_number": "888-432-8212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL LIFE NJ P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-21",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A",
        "authorized_official_last_name": "BRAR",
        "authorized_official_first_name": "NEELKAMAL",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "800-567-5433"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Total Life",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Total Life",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; 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.