Active NPI
Lifemd Atlantic Patient Medical Care PC
- Clinic/Center
- Hoboken, NJ
National Provider Identifier
1164100657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- LIFEMD ATLANTIC PATIENT MEDICAL CARE PC
- Practice address
- 221 River St Ste 9
Hoboken, NJ 07030-5990 - Phone
- (646) 263-3680
- NPI assigned
- Jul 6, 2023
- Last updated
- May 28, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eric Yecies
- Title
- Cco
- Phone
- (800) 852-1575
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | |||
| Family Medicine Physician | 207Q00000X | |||
| Internal Medicine Physician | 207R00000X | |||
| Clinic/Center | 261Q00000X | Primary | ||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
221 River St Ste 9
Hoboken, NJ 07030-5990
Mailing address
236 5TH Ave Ste 400
New York, NY 10001-7606
Phone (800) 852-5175
Other practice location 1
525 N Tryon St Ste 1600
Charlotte, NC 28202-0213
Phone (800) 852-5175
Other practice location 2
999 Waterside Dr Ste 2525 and 2600
Norfolk, VA 23510-3300
Phone (800) 852-5175
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, VA, NJ, PA, MD, DC, SC, OK, KY, TN, NE, GA, MS, MO, FL, IN, LA, NY, OH, TX, CA
Enrollment records 23
National Provider Directory
National Provider DirectoryLocations
20 F St NW
Ste 7
Washington, DC 20001
1320 Main St
Ste 300
Columbia, SC 29201
Phone (803) 386-1541
999 Waterside Dr
Ste AND2600
Norfolk, VA 23510
Practitioners & affiliated clinicians
Practitioners 48
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.
-
- Family Nurse Practitioner
- Orlando, FL
- NPI 1902948086
DC, MD, PA, Single Specialty, VA
-
- Family Nurse Practitioner
- Boca Raton, FL
- NPI 1235892050
-
- Family Medicine Physician
- San Diego, CA
- NPI 1275602625
MD, NC, NJ, PA, SC, VA
-
- Family Nurse Practitioner
- Clearwater, FL
- NPI 1770080046
-
- Family Nurse Practitioner
- Jacksonville, FL
- NPI 1265053516
MD, PA, Single Specialty
-
- Family Nurse Practitioner
- Knoxville, TN
- NPI 1508913237
-
- Family Nurse Practitioner
- Lexington, IN
- NPI 1023616125
-
- Medical Physician Assistant
- Rochester, NY
- NPI 1023492998
-
- Family Nurse Practitioner
- Seminole, FL
- NPI 1912764101
-
- Family Nurse Practitioner
- Clearwater, FL
- NPI 1265042147
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688601600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1716854400000",
"number": "1164100657",
"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": "800-852-5175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 RIVER ST STE 9",
"city": "HOBOKEN",
"state": "NJ",
"postal_code": "070305990",
"telephone_number": "646-263-3680"
}
],
"practiceLocations": [
{
"address_1": "525 N Tryon St Ste 1600",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282020213",
"country_code": "US",
"telephone_number": "800-852-5175",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "999 Waterside Dr Ste 2525 and 2600",
"address_purpose": "LOCATION",
"city": "Norfolk",
"state": "VA",
"postal_code": "235103300",
"country_code": "US",
"telephone_number": "800-852-5175",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "LIFEMD ATLANTIC PATIENT MEDICAL CARE PC",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-06",
"last_updated": "2024-05-28",
"certification_date": "2024-05-28",
"status": "A",
"authorized_official_last_name": "YECIES",
"authorized_official_first_name": "ERIC",
"authorized_official_title_or_position": "CCO",
"authorized_official_telephone_number": "800-852-1575"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Allergy & Immunology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hoboken, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; 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.