Live Well Center LLC

Primary specialty

Addiction (Substance Use Disorder) PsychologistTaxonomy code 103TA0400X

License

35SI00415000 Issued in NJ

Legal business name

LIVE WELL CENTER LLC

Practice address

8 Birchwood CT
Upper Saddle River, NJ 07458-1905

Phone

(201) 934-9467

NPI assigned

Jul 9, 2010

Organization subpart

No

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

Authorized official

Name

Luis Luna, M.D.

Title

Medical Director

Phone

(201) 934-9467

Specialties & licenses 3

Addresses

Other identifiers 1

Practitioners 1

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

• Gregory George Lomuti, PH.D.

  • Counseling Psychologist
  • Upper Saddle River, NJ
  • NPI 1235215336
  NPD (past)

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

{
    "created_epoch": "1278633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278633600000",
    "number": "1154633907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 BIRCHWOOD CT",
            "city": "UPPER SADDLE RIVER",
            "state": "NJ",
            "postal_code": "074581905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 BIRCHWOOD CT",
            "city": "UPPER SADDLE RIVER",
            "state": "NJ",
            "postal_code": "074581905",
            "telephone_number": "201-934-9467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE WELL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-09",
        "last_updated": "2010-07-09",
        "status": "A",
        "authorized_official_last_name": "LUNA",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "201-934-9467",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "35SI00415000",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": "NJ",
            "license": "35SI00415000",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "NJ",
            "license": "25MA07806100",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0140210",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bonnie Krieger
• Raphael Kupferman, PT, DPT
• Theresa Marie Lalime
• Elysa I Levy, OTL
• Ada Liberant
• Gregory George Lomuti, PH.D.
• Carol Marie Mateo, RD
• Claudia Mattes
• MBH Home Care, LLC
• MC Neurology LLC

• Addiction (Substance Use Disorder) Psychologist in Upper Saddle River, NJ
• Providers in Upper Saddle River, NJ by specialty
• Addiction (Substance Use Disorder) Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2010; 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.