Live Well Pediatrics, PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

25MA06910400 Issued in NJ

Legal business name

LIVE WELL PEDIATRICS, PC

Practice address

171 Franklin Tpke
Suite 110
Waldwick, NJ 07463-1849

Phone

(201) 612-5100

NPI assigned

Jan 9, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Jeffrey Adam Posner

Title

Practice Manager

Phone

(201) 612-5100

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stacey Markowitz Hecht, MD

  • Pediatrics Physician
  • Waldwick, NJ
  • NPI 1578579587
  NPD (past)
• Melissa Anne Segal, M.D.

  • Pediatrics Physician
  • Waldwick, NJ
  • NPI 1518974849
  NPD (past)
• Julene Stassou, MS, RD

  • Registered Dietitian
  • Waldwick, NJ
  • NPI 1598069593
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1389225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389225600000",
    "number": "1245652338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 FRANKLIN TPKE",
            "address_2": "SUITE 110",
            "city": "WALDWICK",
            "state": "NJ",
            "postal_code": "074631849",
            "telephone_number": "201-612-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 FRANKLIN TPKE",
            "address_2": "SUITE 110",
            "city": "WALDWICK",
            "state": "NJ",
            "postal_code": "074631849",
            "telephone_number": "201-612-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE WELL PEDIATRICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-09",
        "last_updated": "2014-01-09",
        "status": "A",
        "authorized_official_last_name": "POSNER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "201-612-5100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA06910400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Life Opportunities Unlimited
• Life Opportunities Unlimited: a Non Profit Corporation
• Jessica Anne Grace S Lim, APRN
• Erwin Lin, MD
• Ora Liss, PA-C
• Courtney Marie Loder, M.S., LPC
• Edward Lubat, M.D.
• Elizabeth Lupano, RPH
• Colleen Marie Magnani, RD
• Jonathan Mangot, DMD

• Pediatrics Physician in Waldwick, NJ
• Providers in Waldwick, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.