NPIMap

Organization Active NPI

Lifemd Inc

  • Multi-Specialty Clinic/Center
  • New York, NY
National Provider Identifier
1801570536
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
LIFEMD INC
Practice address
28 Liberty St
New York, NY 10005-1400
Phone
(800) 852-1575
NPI assigned
Jun 13, 2023
Last updated
Jun 22, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Authorized official

Name
Eric Yecies
Title
Cco
Phone
(800) 852-1575

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

28 Liberty St
New York, NY 10005-1400

Mailing address

236 5TH Ave Ste 400
New York, NY 10001-7606
Phone (800) 852-1575

Other practice location 1

208 South Lasalle Street
Suite 814
Chicago, IL 60604
Phone (800) 852-5175

Other practice location 2

160 Mine Lake Ct Ste 200
Raleigh, NC 27615-6417
Phone (800) 852-1575

Other practice location 3

1200 South Pine Road
Suite 250
Plantation, FL 33324
Phone (800) 852-5175

Other practice location 4

289 S Culver St
Lawrenceville, GA 30046-4805
Phone (800) 852-1575

Other practice location 5

820 Bear Tavern Rd
Ewing, NJ 08628-1021
Phone (800) 852-5175

Other practice location 6

160 Mine Lake Ct Ste 200
Raleigh, NC 27615-6417
Phone (800) 852-5175

Other practice location 7

4701 XO Road
Suite 285
Glen Allen, VA 23060
Phone (800) 852-5175

Other practice location 8

330 N Brand Blvd
Glendale, CA 91203-2308
Phone (800) 852-5175

Other practice location 9

3800 N Central Ave Ste 460
Phoenix, AZ 85012-1995
Phone (800) 852-5175

Other practice location 10

701 Brazos St Ste 720
Austin, TX 78701-2556
Phone (800) 852-5175

National Provider Directory

National Provider Directory
Tax ID family
Lifemd Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3800 N Central Ave
Ste 460
Phoenix, AZ 85012
Phone (469) 466-7006

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1686614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687392000000",
    "number": "1801570536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 5TH AVE STE 400",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100017606",
            "telephone_number": "800-852-1575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 LIBERTY ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100051400",
            "telephone_number": "800-852-1575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "208 South Lasalle Street",
            "address_2": "Suite 814",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "60604",
            "country_code": "US",
            "telephone_number": "800-852-5175",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "160 Mine Lake Ct Ste 200",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276156417",
            "country_code": "US",
            "telephone_number": "800-852-1575",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 South Pine Road",
            "address_2": "Suite 250",
            "address_purpose": "LOCATION",
            "city": "Plantation",
            "state": "FL",
            "postal_code": "33324",
            "country_code": "US",
            "telephone_number": "800-852-5175",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "289 S Culver St",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "300464805",
            "country_code": "US",
            "telephone_number": "800-852-1575",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "820 Bear Tavern Rd",
            "address_purpose": "LOCATION",
            "city": "Ewing",
            "state": "NJ",
            "postal_code": "086281021",
            "country_code": "US",
            "telephone_number": "800-852-5175",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "160 Mine Lake Ct Ste 200",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276156417",
            "country_code": "US",
            "telephone_number": "800-852-5175",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4701 XO Road",
            "address_2": "Suite 285",
            "address_purpose": "LOCATION",
            "city": "Glen Allen",
            "state": "VA",
            "postal_code": "23060",
            "country_code": "US",
            "telephone_number": "800-852-5175",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "330 N Brand Blvd",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CA",
            "postal_code": "912032308",
            "country_code": "US",
            "telephone_number": "800-852-5175",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3800 N Central Ave Ste 460",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850121995",
            "country_code": "US",
            "telephone_number": "800-852-5175",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 Brazos St Ste 720",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787012556",
            "country_code": "US",
            "telephone_number": "800-852-5175",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIFEMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-13",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A",
        "authorized_official_last_name": "YECIES",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "CCO",
        "authorized_official_telephone_number": "800-852-1575"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.