Organization Active NPI

Life Comprehensive Healthcare, LLC

  • Multi-Specialty Clinic/Center
  • Ocean, NJ
National Provider Identifier
1134460538
Registry record updated Mar 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
3245 Issued in NJ
Legal business name
LIFE COMPREHENSIVE HEALTHCARE, LLC
Practice address
3331 Sunset Ave
Ocean, NJ 07712-4554
Phone
(732) 530-4700
Fax
(732) 455-8855
NPI assigned
Mar 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2013

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

Authorized official

Name
Dr. Douglas Zimmel, DC
Title
Owner
Phone
(732) 530-4700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X 3245 NJ Primary

Addresses

Primary practice location

3331 Sunset Ave
Ocean, NJ 07712-4554

Mailing address

3331 Sunset Ave
Ocean, NJ 07712-4554
Phone (732) 530-4700

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1362787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362787200000",
    "number": "1134460538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3331 SUNSET AVE",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077124554",
            "telephone_number": "732-530-4700",
            "fax_number": "732-455-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3331 SUNSET AVE",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077124554",
            "telephone_number": "732-530-4700",
            "fax_number": "732-455-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE COMPREHENSIVE HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-09",
        "last_updated": "2013-03-09",
        "status": "A",
        "authorized_official_last_name": "ZIMMEL",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-530-4700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NJ",
            "license": "3245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2013; 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.