Organization Active NPI

Lifeforce Medical NJ PC

  • Internal Medicine Physician
  • Marlton, NJ
National Provider Identifier
1265310734
Registry record updated Aug 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
LIFEFORCE MEDICAL NJ PC
Doing business as
Lifeforce Medical NJ PC
Practice address
103 Route 70 E Ste 2
Marlton, NJ 08053-1890
Phone
(855) 656-1266
NPI assigned
Aug 23, 2025
Last updated
Aug 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2025

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

Authorized official

Name
Renee Salgado
Title
Sr. Credentialing Rep.
Phone
(702) 417-6265

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

103 Route 70 E Ste 2
Marlton, NJ 08053-1890

Mailing address

PO Box 85
Los Altos, CA 94023-0085
Phone (855) 656-1266

Other names 1

  • Lifeforce Medical NJ PC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1755907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755907200000",
    "number": "1265310734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 85",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940230085",
            "telephone_number": "855-656-1266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 ROUTE 70 E STE 2",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080531890",
            "telephone_number": "855-656-1266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEFORCE MEDICAL NJ PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-23",
        "last_updated": "2025-08-23",
        "certification_date": "2025-08-23",
        "status": "A",
        "authorized_official_last_name": "SALGADO",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "SR. CREDENTIALING REP.",
        "authorized_official_telephone_number": "702-417-6265"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifeforce Medical NJ PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marlton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.