Life Health & Wellness PA

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

LIFE HEALTH & WELLNESS PA

Practice address

251 Rochelle Ave
Rochelle Park, NJ 07662-3914

Phone

(201) 291-8800

NPI assigned

Jul 25, 2023

Organization subpart

No

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

Authorized official

Name

Stavroula Eracleous

Title

Executive Assistant

Phone

(201) 291-8800

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1690243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690243200000",
    "number": "1538840400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 353",
            "city": "ROCHELLE PARK",
            "state": "NJ",
            "postal_code": "076620353",
            "telephone_number": "201-291-8800",
            "fax_number": "201-291-1619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 ROCHELLE AVE",
            "city": "ROCHELLE PARK",
            "state": "NJ",
            "postal_code": "076623914",
            "telephone_number": "201-291-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE HEALTH & WELLNESS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-25",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A",
        "authorized_official_last_name": "ERACLEOUS",
        "authorized_official_first_name": "STAVROULA",
        "authorized_official_title_or_position": "EXECUTIVE ASSISTANT",
        "authorized_official_telephone_number": "201-291-8800"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Langston, BCBA
• Sarah Laranjeiro, LCSW
• Moiz Latif
• Jason Leiken
• Danielle Leoncini, MS, LPC, CCMHC, NCC
• Judy Lin, PHARM.D.
• Dulce Irainah Paragas Lina
• Carletta J Lindie-Fowlkes, PA-C
• Marissa Liza, L.AC
• Vicki S. Lococo, LCSW

• Health Service Clinic/Center in Rochelle Park, NJ
• Providers in Rochelle Park, NJ by specialty
• Health Service Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; 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.