Living New Inc

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

20003193-06 Issued in NJ

Legal business name

LIVING NEW INC

Practice address

15 S 9TH St
Newark, NJ 07107-2147

Phone

(973) 497-2471

NPI assigned

Jul 11, 2008

Last updated

Jul 11, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tyshammie Cooper-Delisle

Title

Administrator/Cfo

Phone

(973) 497-2471

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• real families inc Other name

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

{
    "created_epoch": "1215734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215734400000",
    "number": "1356505150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "356 BLOOMFIELD AVE",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423646",
            "fax_number": "973-497-2475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 S 9TH ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071072147",
            "telephone_number": "973-497-2471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING NEW INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-11",
        "last_updated": "2008-07-11",
        "status": "A",
        "authorized_official_last_name": "COOPER-DELISLE",
        "authorized_official_first_name": "TYSHAMMIE",
        "authorized_official_title_or_position": "ADMINISTRATOR/CFO",
        "authorized_official_telephone_number": "973-497-2471"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NJ",
            "license": "20003193-06",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0125059",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "real families inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jesse Zexin Liu, DMD
• Ling Liu, NP-C
• Lingling Liu, MD
• Max Liu, DDS
• Sharon Liu, MD
• Living New, Real Families Inc.
• Angela Nichole Livingston
• Robert Llanos, MD
• Samantha Lleras, MD
• Amy Lo, RN

• Substance Abuse Rehabilitation Facility in Newark, NJ
• Providers in Newark, NJ by specialty
• Substance Abuse Rehabilitation Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; 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.