Active NPI
Legacy Empowerment Services LLC
- Case Management Agency
- Edison, NJ
National Provider Identifier
1417687294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- LEGACY EMPOWERMENT SERVICES LLC
- Practice address
- 110 Fieldcrest Ave
3Rd Floor
Edison, NJ 08837 - Phone
- (732) 523-0769
- NPI assigned
- Jun 14, 2022
- Last updated
- May 16, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Mayra Martinez Perez
- Title
- Founder/Ceo
- Phone
- (732) 523-0769
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | NU | ||
| Case Management Agency | 251B00000X | NU | Primary | |
| Adult Companion | 372600000X | NU |
Addresses
Primary practice location
110 Fieldcrest Ave
3Rd Floor
Edison, NJ 08837
Mailing address
110 Fieldcrest Ave
3Rd Floor,
Edison, NJ 08837
Phone (732) 523-0769
Other practice location 1
250 Pehle Ave Ste 200
Saddle Brook, NJ 07663-5835
Phone (732) 523-0769
Other names 1
- Legacy Life Solutions
National Provider Directory
National Provider Directory- Tax ID family
- Legacy Empowerment Services LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Case Management Agency
- Edison, NJ
- NPI 1528958998
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655164800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1747353600000",
"number": "1417687294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 FIELDCREST AVE",
"address_2": "3RD FLOOR,",
"city": "EDISON",
"state": "NJ",
"postal_code": "08837",
"telephone_number": "732-523-0769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 FIELDCREST AVE",
"address_2": "3RD FLOOR",
"city": "EDISON",
"state": "NJ",
"postal_code": "08837",
"telephone_number": "732-523-0769"
}
],
"practiceLocations": [
{
"address_1": "250 Pehle Ave Ste 200",
"address_purpose": "LOCATION",
"city": "Saddle Brook",
"state": "NJ",
"postal_code": "076635835",
"country_code": "US",
"telephone_number": "732-523-0769",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "LEGACY EMPOWERMENT SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-14",
"last_updated": "2025-05-16",
"certification_date": "2025-05-16",
"status": "A",
"authorized_official_last_name": "MARTINEZ PEREZ",
"authorized_official_first_name": "MAYRA",
"authorized_official_title_or_position": "FOUNDER/CEO",
"authorized_official_telephone_number": "732-523-0769",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Legacy Life Solutions",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "Legacy Life Solutions",
"code": "4",
"type": "Former Legal Business Name"
}
]
}Other providers in Edison, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.