Organization Active NPI

Life Cycles OBGYN LLC

  • Obstetrics & Gynecology Physician
  • Livingston, NJ
National Provider Identifier
1164737706
Registry record updated Aug 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MA08600100 Issued in NJ
Legal business name
LIFE CYCLES OBGYN LLC
Practice address
3 Dorothy Ave
Livingston, NJ 07039-2003
Phone
(917) 902-1129
NPI assigned
Aug 6, 2010
Last updated
Aug 6, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2010

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

Authorized official

Name
Dr. Yael Jennifer Antebi, MDNPI 1467680207
Title
Owner/ President
Phone
(917) 902-1129

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 25MA08600100 NJ Primary

Addresses

Primary practice location

3 Dorothy Ave
Livingston, NJ 07039-2003

Mailing address

3 Dorothy Ave
Livingston, NJ 07039-2003
Phone (917) 902-1129

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150217002011 NJ Part B Supplier - Clinic/Group Practice 9436474301 Receives reassigned benefits from 1 practitioner
Practice locations: West Orange, NJ

National Provider Directory

National Provider Directory

Locations

81 Northfield Ave
Ste 201
West Orange, NJ 07052
Phone (973) 243-2200

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1281052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281052800000",
    "number": "1164737706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 DOROTHY AVE",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070392003",
            "telephone_number": "917-902-1129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 DOROTHY AVE",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070392003",
            "telephone_number": "917-902-1129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CYCLES OBGYN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-06",
        "last_updated": "2010-08-06",
        "status": "A",
        "authorized_official_last_name": "ANTEBI",
        "authorized_official_first_name": "YAEL",
        "authorized_official_middle_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER/ PRESIDENT",
        "authorized_official_telephone_number": "917-902-1129",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA08600100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2010; 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.