Organization Active NPI

Live Life Now Health Group of NJ PC

Doing business as Monument Telehealth Group

  • Addiction Medicine (Family Medicine) Physician
  • Mount Laurel, NJ
National Provider Identifier
1215566393
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
Legal business name
LIVE LIFE NOW HEALTH GROUP OF NJ PC
Doing business as
Monument Telehealth Group
Practice address
309 Fellowship Rd Ste 200
Mount Laurel, NJ 08054-1234
Phone
(646) 960-3553
NPI assigned
Apr 2, 2020
Last updated
Feb 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

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

Authorized official

Name
Vicky Diaz
Title
Insurance Operations Manager
Phone
(917) 529-2030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) Physician 207QA0401X NU Primary

Addresses

Primary practice location

309 Fellowship Rd Ste 200
Mount Laurel, NJ 08054-1234

Mailing address

309 Fellowship Rd Ste 200
Mount Laurel, NJ 08054-1234
Phone (917) 529-2030

Other names 1

  • Monument Telehealth Group Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200505000504 NJ Part B Supplier - Clinic/Group Practice 0749611820 Receives reassigned benefits from 5 practitioners
Practice locations: Mount Laurel, NJ

National Provider Directory

National Provider Directory

Locations

350 7th Ave
Rm 600
New York, NY 10001

Practitioners & affiliated clinicians

Practitioners 6

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": "1585785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770768000000",
    "number": "1215566393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 FELLOWSHIP RD STE 200",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080541234",
            "telephone_number": "917-529-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 FELLOWSHIP RD STE 200",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080541234",
            "telephone_number": "646-960-3553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE LIFE NOW HEALTH GROUP OF NJ PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-02",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "VICKY",
        "authorized_official_title_or_position": "INSURANCE OPERATIONS MANAGER",
        "authorized_official_telephone_number": "917-529-2030"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monument Telehealth Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Monument Telehealth Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Laurel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2026; 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.