Organization Active NPI

Lifecycles Health Services Inc

  • Family Nurse Practitioner
  • Camden, NJ
National Provider Identifier
1730545567
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00600900 Issued in NJ
Legal business name
LIFECYCLES HEALTH SERVICES INC
Practice address
433 N 7TH St
First Floor
Camden, NJ 08102-2212
Phone
(856) 288-9115
Fax
(856) 379-4286
NPI assigned
Jan 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

Authorized official

Name
Dr. Tanya Monique Bronzell-Wynder, DNP,CRNP,NP-C,ANP-BCNPI 1013913797
Title
Ceo
Phone
(856) 288-9115

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X SP008348 PA
Community Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LC1500X SP013200 PA
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 26NJ00600900 NJ Primary

Addresses

Primary practice location

433 N 7TH St
First Floor
Camden, NJ 08102-2212

Mailing address

433 N 7TH St
First Floor
Camden, NJ 08102-2212
Phone (856) 288-9115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161017000085 NJ Part B Supplier - Clinic/Group Practice 2567750003 Receives reassigned benefits from 1 practitioner
Practice locations: Camden, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2113839Lifecycles Health Center and Services433 North 7TH Street, Camden, NJ 08102Provider-performed microscopyMar 16, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1452297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696204800000",
    "number": "1730545567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 N 7TH ST",
            "address_2": "FIRST FLOOR",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081022212",
            "telephone_number": "856-288-9115",
            "fax_number": "856-379-4286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 N 7TH ST",
            "address_2": "FIRST FLOOR",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081022212",
            "telephone_number": "856-288-9115",
            "fax_number": "856-379-4286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFECYCLES HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-09",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A",
        "authorized_official_last_name": "BRONZELL-WYNDER",
        "authorized_official_first_name": "TANYA",
        "authorized_official_middle_name": "MONIQUE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "856-288-9115",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP,CRNP,NP-C,ANP-BC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PA",
            "license": "SP008348",
            "primary": false
        },
        {
            "code": "363LC1500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Community Health",
            "state": "PA",
            "license": "SP013200",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00600900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.