Legacy Life Solutions

Primary specialty

Supports Brokerage AgencyTaxonomy code 251X00000X

Legal business name

LEGACY LIFE SOLUTIONS

Practice address

197 Route 18 Ste 3000
East Brunswick, NJ 08816-1440

Phone

(732) 523-0769

NPI assigned

Apr 13, 2020

Last updated

Apr 13, 2020By 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

Mrs. Mayra Martinez Negrete

Title

Ceo

Phone

(732) 523-0769

Specialties & licenses 7

Addresses

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

{
    "created_epoch": "1586736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586736000000",
    "number": "1538788237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "197 ROUTE 18 STE 3000",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088161440",
            "telephone_number": "732-523-0769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 ROUTE 18 STE 3000",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088161440",
            "telephone_number": "732-523-0769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY LIFE SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-13",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ NEGRETE",
        "authorized_official_first_name": "MAYRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "732-523-0769",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Y. Lee, MD
• Steven Lee
• Vanessa Joy Lee, DMD, MBS
• Vincent Lee, MD
• Yeung T Lee
• Legacy Treatment Services Inc
• Donald N. Leibner, MD
• Sher Leiman, MD
• Mark W Leitman, M.D.
• Joel Elliot Leizer, D.D.S.

• Supports Brokerage Agency in East Brunswick, NJ
• Providers in East Brunswick, NJ by specialty
• Supports Brokerage Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2020; 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.