Organization Active NPI

Lifeline Medical Associates, LLC

  • Obstetrics & Gynecology Physician
  • Florham Park, NJ
National Provider Identifier
1821041617
Registry record updated Jan 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
LIFELINE MEDICAL ASSOCIATES, LLC
Practice address
100 Campus Dr Ste 405
Florham Park, NJ 07932-1006
Phone
(800) 845-2785
Fax
(973) 316-0307
NPI assigned
May 19, 2006
Last updated
Jan 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2022

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

Authorized official

Name
Mr. Ronald Cobo, MPA
Title
Business Manager Cred
Phone
(973) 316-6763

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X Primary

Addresses

Primary practice location

100 Campus Dr Ste 405
Florham Park, NJ 07932-1006

Mailing address

100 Campus Dr Ste 405
Florham Park, NJ 07932-1006
Phone (800) 845-2785

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, DE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040528000067 NJ Part B Supplier - Clinic/Group Practice 1456332170 Receives reassigned benefits from 232 practitioners
Practice locations: Morristown, NJ; Ocean, NJ; Oradell, NJ; Paramus, NJ; Piscataway, NJ; Pompton Lakes, NJ; Randolph, NJ; Sparta, NJ…
O20200715000109 DE Part B Supplier - Clinic/Group Practice 1456332170 Receives reassigned benefits from 20 practitioners
Practice locations: Newark, DE

National Provider Directory

National Provider Directory

Locations (25 of 46)

6300 Limestone Rd
#A
Hockessin, DE 19707
Phone (302) 485-9995

114 Sandhill Dr
Ste 203
Middletown, DE 19709
Phone (302) 368-9000

4745 Ogletown Stanton Rd
#Sfirst
Newark, DE 19713
Phone (302) 454-9800

4745 Ogletown Stanton Rd
Ste 106
Newark, DE 19713
Phone (302) 454-9800

4745 Ogletown Stanton Rd
Ste 207
Newark, DE 19713
Phone (302) 368-9000

875 AAA Blvd
Ste B3
Newark, DE 19713
Phone (302) 454-9800

16 Pocono Rd
Frnt
Denville, NJ 07834
Phone (973) 784-3935

16 Pocono Rd
Ste 106
Denville, NJ 07834
Phone (973) 627-1444

16 Pocono Rd
Ste 110
Denville, NJ 07834
Phone (973) 292-6800

16 Pocono Rd
Ste 309
Denville, NJ 07834
Phone (973) 983-7695

11 Melanie Ln
Ste 21
East Hanover, NJ 07936
Phone (973) 345-1660

466 Old Hook Rd
Ste 16
Emerson, NJ 07630
Phone (201) 391-5443

5-22 Saddle River Rd
Fair Lawn, NJ 07410
Phone (201) 796-2025

100 Campus Dr
Ste 405
Florham Park, NJ 07932
Phone (800) 845-2785

34 Manchester Ave
Ste 102
Forked River, NJ 08731
Phone (201) 972-6318

442 Lacey Rd
Forked River, NJ 08731
Phone (609) 693-2020

833 Lacey Rd
Ste 5
Forked River, NJ 08731
Phone (609) 971-2999

117 Seber Rd
Ste 4B
Hackettstown, NJ 07840
Phone (908) 852-7770

653 Willow Grove St
Ste 2200
Hackettstown, NJ 07840
Phone (908) 441-1404

4665 US Highway 9
#14
Howell, NJ 07731
Phone (732) 370-2600

590 W Kennedy Blvd
Lakewood, NJ 08701
Phone (732) 370-1111

150 Lakeside Blvd
Ste 2
Landing, NJ 07850
Phone (973) 398-0661

2 Princess Rd
Ste C
Lawrenceville, NJ 08648
Phone (609) 896-0777

434 Route 72 W
Ste A
Manahawkin, NJ 08050
Phone (609) 978-3667

101 Madison Ave
Ste 405
Morristown, NJ 07960
Phone (973) 267-7272

Practitioners & affiliated clinicians

Practitioners 307

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.

View all 307

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642723200000",
    "number": "1821041617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CAMPUS DR STE 405",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321006",
            "telephone_number": "800-845-2785",
            "fax_number": "973-316-0307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CAMPUS DR STE 405",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321006",
            "telephone_number": "800-845-2785",
            "fax_number": "973-316-0307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE MEDICAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A",
        "authorized_official_last_name": "COBO",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "BUSINESS MANAGER CRED",
        "authorized_official_telephone_number": "973-316-6763",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPA"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florham Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.