NPIMap

Organization Active NPI

Livingston 1 Weightloss, LLC

Doing business as Medi Weightloss Livingston

  • Family Medicine Physician
  • Livingston, NJ
National Provider Identifier
1912450008
Registry record updated Jul 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LIVINGSTON 1 WEIGHTLOSS, LLC
Doing business as
Medi Weightloss Livingston
Practice address
5 Regent St
Suite 509
Livingston, NJ 07039-1675
Phone
(973) 251-2437
Fax
(973) 251-2654
NPI assigned
Jul 26, 2016
Last updated
Jul 26, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2016

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

Authorized official

Name
Wendie Nonclerc
Title
Director of Insurance Development
Phone
(813) 228-6334

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

5 Regent St
Suite 509
Livingston, NJ 07039-1675

Mailing address

5 Regent St
Suite 509
Livingston, NJ 07039-1675
Phone (973) 251-2437

Other names 1

  • Medi Weightloss Livingston Doing business as

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
31D2070297Livingston Medi-Weightloss Clinic5 Regent Street, Livingston, NJ 07039Certificate of waiverDec 11, 2027

National Provider Directory

National Provider Directory
Tax ID family
Essex County Weightloss LLC2 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.

Practitioners & affiliated clinicians

Practitioners 9

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": "1469491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469491200000",
    "number": "1912450008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 REGENT ST",
            "address_2": "SUITE 509",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070391675",
            "telephone_number": "973-251-2437",
            "fax_number": "973-251-2654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 REGENT ST",
            "address_2": "SUITE 509",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070391675",
            "telephone_number": "973-251-2437",
            "fax_number": "973-251-2654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVINGSTON 1 WEIGHTLOSS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-26",
        "last_updated": "2016-07-26",
        "status": "A",
        "authorized_official_last_name": "NONCLERC",
        "authorized_official_first_name": "WENDIE",
        "authorized_official_title_or_position": "DIRECTOR OF INSURANCE DEVELOPMENT",
        "authorized_official_telephone_number": "813-228-6334"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medi Weightloss Livingston",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Livingston, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.