Active NPI
Lifestyle Medly, LLC
- Internal Medicine Physician
- Cranbury, NJ
National Provider Identifier
1174396873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- LIFESTYLE MEDLY, LLC
- Practice address
- 2650 Route 130 Ste B
Cranbury, NJ 08512-3327 - Phone
- (201) 844-9062
- Fax
- (201) 365-5737
- NPI assigned
- Nov 3, 2023
- Last updated
- Mar 26, 2025
- 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. Hassan Shahid, M.D.
- Title
- President
- Phone
- (201) 844-9062
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | NU | Primary |
Addresses
Primary practice location
2650 Route 130 Ste B
Cranbury, NJ 08512-3327
Mailing address
2650 US Highway 130 Ste B
Cranbury, NJ 08512-3327
Phone (201) 844-9062
National Provider Directory
National Provider DirectoryLocations
441 US Highway 130
East Windsor, NJ 08520
Phone (201) 844-9062
Practitioners & affiliated clinicians
Practitioners 1
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": "1698969600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742947200000",
"number": "1174396873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2650 US HIGHWAY 130 STE B",
"city": "CRANBURY",
"state": "NJ",
"postal_code": "085123327",
"telephone_number": "201-844-9062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2650 ROUTE 130 STE B",
"city": "CRANBURY",
"state": "NJ",
"postal_code": "085123327",
"telephone_number": "201-844-9062",
"fax_number": "201-365-5737"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFESTYLE MEDLY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-03",
"last_updated": "2025-03-26",
"certification_date": "2025-03-26",
"status": "A",
"authorized_official_last_name": "SHAHID",
"authorized_official_first_name": "HASSAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "201-844-9062",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cranbury, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.