Active NPI
Life Cycles OBGYN LLC
- Obstetrics & Gynecology Physician
- Livingston, NJ
National Provider Identifier
1164737706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 25MA08600100
- 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, 2010
- 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
- Dr. Yael Jennifer Antebi, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Obstetrics & Gynecology Physician
- West Orange, NJ
- NPI 1467680207
-
- Specialist
- West Orange, NJ
- NPI 1538113626
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.