NPIMap

Organization Active NPI

Lifemd New England Patient Medical Care PA

  • Multi-Specialty Clinic/Center
  • Wilmington, DE
National Provider Identifier
1376305847
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
LIFEMD NEW ENGLAND PATIENT MEDICAL CARE PA
Practice address
1209 N Orange St
Wilmington, DE 19801-1120
Phone
(800) 875-1575
NPI assigned
Jan 29, 2024
Last updated
Dec 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Authorized official

Name
Eric Yecies
Title
General Counsel
Phone
(646) 263-3680

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

1209 N Orange St
Wilmington, DE 19801-1120

Mailing address

236 5TH Ave Ste 400
New York, NY 10001-7606
Phone (800) 852-1575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, NE, NJ, FL, NC, IN, CA, GA, OH, LA, MO11 enrollments

Enrollment records 11

Enrollment IDStateProvider typePAC IDDetails
O20250813000989 TN Part B Supplier - Clinic/Group Practice 5395270409 Receives reassigned benefits from 1 practitioner
Practice locations: Alcoa, TN
O20250828002765 NE Part B Supplier - Clinic/Group Practice 5395270409 Receives reassigned benefits from 1 practitioner
Practice locations: Omaha, NE
O20250905004011 NJ Part B Supplier - Clinic/Group Practice 5395270409 Receives reassigned benefits from 1 practitioner
Practice locations: Pompton Plains, NJ
O20250908004048 FL Part B Supplier - Clinic/Group Practice 5395270409 Receives reassigned benefits from 4 practitioners
Practice locations: Orlando, FL; Miami, FL; Cooper City, FL; New Port Richey, FL
O20250912002063 NC Part B Supplier - Clinic/Group Practice 5395270409 Receives reassigned benefits from 3 practitioners
Practice locations: Charlotte, NC; Fletcher, NC; Candler, NC
O20250916001472 IN Part B Supplier - Clinic/Group Practice 5395270409 Receives reassigned benefits from 1 practitioner
Practice locations: Lexington, IN
O20250916003387 CA Part B Supplier - Clinic/Group Practice 5395270409 Receives reassigned benefits from 1 practitioner
Practice locations: Livermore, CA
O20250929002215 GA Part B Supplier - Clinic/Group Practice 5395270409 Receives reassigned benefits from 1 practitioner
Practice locations: Suwanee, GA
O20251001003411 OH Part B Supplier - Clinic/Group Practice 5395270409 Receives reassigned benefits from 1 practitioner
Practice locations: Circleville, OH
O20251010001547 LA Part B Supplier - Clinic/Group Practice 5395270409 Receives reassigned benefits from 1 practitioner
Practice locations: Belle Chasse, LA
O20251013000602 MO Part B Supplier - Clinic/Group Practice 5395270409 Receives reassigned benefits from 1 practitioner
Practice locations: Grain Valley, MO

National Provider Directory

National Provider Directory

Locations

1209 N Orange St
Wilmington, DE 19801
Phone (800) 875-1575

Practitioners & affiliated clinicians

Practitioners 23

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.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1376305847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 5TH AVE STE 400",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100017606",
            "telephone_number": "800-852-1575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 N ORANGE ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198011120",
            "telephone_number": "800-875-1575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEMD NEW ENGLAND PATIENT MEDICAL CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-29",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "YECIES",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "GENERAL COUNSEL",
        "authorized_official_telephone_number": "646-263-3680"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; 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.