Lifeback LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

LIFEBACK LLC

Practice address

4 Princess Rd
BLDG 200 / Suite 206
Lawrenceville, NJ 08648-2322

Phone

(609) 482-3701

Fax

(215) 975-7300

NPI assigned

Dec 5, 2013

Organization subpart

No

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

Authorized official

Name

Marinetta Serotte

Title

Adminstrator/Owner

Phone

(609) 872-8021

Specialties & licenses 7

Addresses

Locations

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

{
    "created_epoch": "1386201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685404800000",
    "number": "1780015412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3366 DURHAM RD",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189021817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 PRINCESS RD",
            "address_2": "BLDG 200 / SUITE 206",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482322",
            "telephone_number": "609-482-3701",
            "fax_number": "215-975-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEBACK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-05",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A",
        "authorized_official_last_name": "SEROTTE",
        "authorized_official_first_name": "MARINETTA",
        "authorized_official_title_or_position": "ADMINSTRATOR/OWNER",
        "authorized_official_telephone_number": "609-872-8021"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Levandowski, M.D.,
• Babette Levin, LSW
• Gary Douglas Levine, MSW, LPC, LCSW
• Kimberly Anne Levitt, M.D., M.P.H.
• Kenneth M. Liebman, M.D.
• Lifecare Health and Wellness
• Lifecare Physicians, P.C. (LifeCare Physicians of Lawrenceville)
• Lifecare Physicians, P.C. (LifeCare Physicians of Lawrenceville)
• Lifecare Physicians, P.C. (LifeCare Physicians of Lawrenceville)
• Harris C. Lilienfeld, MD, FAAP

• Substance Use Disorder Rehabilitation Clinic/Center in Lawrenceville, NJ
• Providers in Lawrenceville, NJ by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.