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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Family Medicine) Physician
- 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, 2026
- 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
- Vicky Diaz
- Title
- Insurance Operations Manager
- Phone
- (917) 529-2030
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Addiction (Substance Use Disorder) Counselor
- Rochester, NY
- NPI 1487818290
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.