Lyfe Global

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

LYFE GLOBAL

Practice address

44 E Hazelwood Ave
Rahway, NJ 07065-3813

Phone

(609) 470-4283

NPI assigned

Jul 24, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Samuel C WilsonNPI 1881452019

Title

Executive Director

Phone

(609) 470-4283

Specialties & licenses 3

Addresses

Practitioners 1

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

• Samuel Carl Wilson, PRS

  • Peer Specialist
  • Willingboro, NJ
  • NPI 1881452019
  NPD Authorized official

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

{
    "created_epoch": "1721779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721779200000",
    "number": "1538997291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 HAWTHORNE LN",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080461717",
            "telephone_number": "609-470-4283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 E HAZELWOOD AVE",
            "city": "RAHWAY",
            "state": "NJ",
            "postal_code": "070653813",
            "telephone_number": "609-470-4283"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "509 S Main St",
            "address_purpose": "LOCATION",
            "city": "Phillipsburg",
            "state": "NJ",
            "postal_code": "088653137",
            "country_code": "US",
            "telephone_number": "609-470-4283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LYFE GLOBAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-24",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "609-470-4283",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Wei Long, MD
• Dominick T Luciano, MD
• Lumencareddd
• Lumencaremed
• Nicholas Lumia, PHARM D
• Diamond Jacklyn Mack, BACHELOR'S IN ART
• Chioma Madu, MD
• Nazih Mafargeh
• John R Maj, LMT
• Dipak K Mallik, MD

• Mental Health Counselor in Rahway, NJ
• Providers in Rahway, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; 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.