Legacy Empowerment Services LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

LEGACY EMPOWERMENT SERVICES LLC

Practice address

110 Fieldcrest Ave
Floor 3
Edison, NJ 08837

Phone

(732) 523-0759

Fax

(848) 228-3053

NPI assigned

Jul 8, 2025

Organization subpart

No

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

Authorized official

Name

Mrs. Mayra Martinez Perez

Title

Ceo

Phone

(732) 523-0679

Specialties & licenses 3

Addresses

Other names 1

• Legacy Life Solutions Former legal business name

Tax ID family

Legacy Empowerment Services LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Legacy Empowerment Services LLC

  • Case Management Agency
  • Edison, NJ
  • NPI 1417687294
  NPD tax ID
• Legacy Empowerment Services LLC

  • Adult Companion
  • Edison, NJ
  • NPI 1457932394
  NPD tax ID

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

{
    "created_epoch": "1751932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753660800000",
    "number": "1528958998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 FIELDCREST AVE STE 3",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088373648",
            "telephone_number": "732-523-0769",
            "fax_number": "848-228-3053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 FIELDCREST AVE",
            "address_2": "FLOOR 3",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "08837",
            "telephone_number": "732-523-0759",
            "fax_number": "848-228-3053"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Pehle Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Saddle Brook",
            "state": "NJ",
            "postal_code": "076635835",
            "country_code": "US",
            "telephone_number": "732-523-0759",
            "fax_number": "848-228-3053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LEGACY EMPOWERMENT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-08",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ PEREZ",
        "authorized_official_first_name": "MAYRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "732-523-0679",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "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"
        }
    ]
}

• Mister Lee, P.T.
• Sungki Lee, D.M.D.
• Yoosan Lee
• Legacy Empowerment Services LLC
• Legacy Empowerment Services LLC
• Nina B Lehrhaupt, DMD
• Gina Leka
• Jesse Tristian Leon, LAT, ATC
• Krystal Marie Leonardis
• Olivia Rose Leonardis, PHARMD

• Case Management Agency in Edison, NJ
• Providers in Edison, NJ by specialty
• Case Management Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.

Verify at the official NPI Registry.