Organization Active NPI

Lifestyle Medly, LLC

  • Internal Medicine Physician
  • Cranbury, NJ
National Provider Identifier
1174396873
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Authorized official

Name
Dr. Hassan Shahid, M.D.NPI 1619387040
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.