Lifeline Tests Incorporated

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

Legal business name

LIFELINE TESTS INCORPORATED

Practice address

296 Atlantic Ave Ste a
Freeport, NY 11520-4243

Phone

(616) 894-1615

NPI assigned

Mar 11, 2025

Organization subpart

No

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

Authorized official

Name

Jacob Robert Peacock, MDNPI 1083050785

Title

Authorized Official

Phone

(616) 894-1615

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 3

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

• Jacob Robert Peacock, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Brooklyn, NY
  • NPI 1083050785
  NPD Authorized official
• Adalbert Pilip, MD

  • Internal Medicine Physician
  • Smithtown, NY
  • NPI 1548424039

  Cardiovascular Disease

  NPD
• Carl Tyler Shenkman, M.D., J.D., LLM

  • Neurology Physician
  • Clearwater, FL
  • NPI 1083664874
  NPD

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

{
    "created_epoch": "1741651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741651200000",
    "number": "1306645577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "296 ATLANTIC AVE STE A",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115204243",
            "telephone_number": "616-894-1615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "296 ATLANTIC AVE STE A",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115204243",
            "telephone_number": "616-894-1615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE TESTS INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-11",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A",
        "authorized_official_last_name": "PEACOCK",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "616-894-1615",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Levy, RN
• De'Ara Lewis
• Sandra Lewis, LPN
• Rachel Liebeskind, MSW
• Lifeline Medical PC
• Lisa C Williams MSN Nurse Practitioner in Adult Health PC
• Jasmine Livingston-Still
• Cara A Livoti, M.S.W.
• Alda Loban, LPN
• Yolanda Patricia Lobban

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Freeport, NY
• Providers in Freeport, NY by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; 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.