Lifestyle Medicine New Haven LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

LIFESTYLE MEDICINE NEW HAVEN LLC

Practice address

496 Newhall St Ste 206
Hamden, CT 06517-3248

Phone

(203) 859-4476

Fax

(949) 703-7019

NPI assigned

Apr 1, 2025

Organization subpart

No

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

Authorized official

Name

Mrs. Ifeoma Nwokoye, APRNNPI 1134662174

Title

Ceo and Founder

Phone

(203) 859-4476

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 1

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

• Ifeoma Justina Nwokoye, FNP

  • Family Nurse Practitioner
  • Hamden, CT
  • NPI 1134662174
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1743465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784592000000",
    "number": "1477357457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 LOOMIS PL",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065112222",
            "telephone_number": "347-681-7196",
            "fax_number": "949-703-7019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "496 NEWHALL ST STE 206",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065173248",
            "telephone_number": "203-859-4476",
            "fax_number": "949-703-7019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTYLE MEDICINE NEW HAVEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-01",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A",
        "authorized_official_last_name": "NWOKOYE",
        "authorized_official_first_name": "IFEOMA",
        "authorized_official_title_or_position": "CEO AND FOUNDER",
        "authorized_official_telephone_number": "203-859-4476",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meredith Libby, BCBA
• Naomi Libby, M.D.
• Pasquale G Libertino Jr.
• Life Course Counseling, LLC
• Lifespring Healthcare Services LLC
• Victoria Rose Lilly
• Zachary Lima
• Lina Adult Day Care - Community Center, LLC
• Lina Medical Transportation, LLC
• Amanda Lindberg, CNM, WHNP-BC

• Family Nurse Practitioner in Hamden, CT
• Providers in Hamden, CT by specialty
• Family Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; 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.