Metabolic Wellness and Longevity Institute LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MA069475 Issued in NJ

Legal business name

METABOLIC WELLNESS AND LONGEVITY INSTITUTE LLC

Practice address

266 King George Rd
Suite H
Warren, NJ 07059-5120

Phone

(908) 626-9200

Fax

(908) 626-9203

NPI assigned

Apr 22, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Lakshmi Prasad, M.D.

Title

Manager

Phone

(908) 626-9200

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1398124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403654400000",
    "number": "1780004465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 KING GEORGE RD",
            "address_2": "SUITE H",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070595120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 KING GEORGE RD",
            "address_2": "SUITE H",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070595120",
            "telephone_number": "908-626-9200",
            "fax_number": "908-626-9203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METABOLIC WELLNESS AND LONGEVITY INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-22",
        "last_updated": "2014-06-25",
        "status": "A",
        "authorized_official_last_name": "PRASAD",
        "authorized_official_first_name": "LAKSHMI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "908-626-9200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA069475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan C McCarthy, ACAGNP-BC
• Carol S McCrea, PH.D.
• Lindsay Rae McMahon
• Monica Mekhail
• Craig L Menker, DMD, CAGS
• Priscilla Miguez, D.O
• Nino Miminoshvili
• Mini Socialites, LLC
• Mira Vie at Warren Opco LLC
• MJ Care Services LLC

• Internal Medicine Physician in Warren, NJ
• Providers in Warren, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2014; 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.