Healthy Life MD., LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

HEALTHY LIFE MD., LLC

Practice address

3840 Park Ave Ste 103
Edison, NJ 08820-2563

Phone

(732) 515-9944

Fax

(732) 515-9945

NPI assigned

Feb 7, 2017

Organization subpart

No

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

Authorized official

Name

Shobana NatarajanNPI 1639174394

Title

Sole Owner

Phone

(732) 515-9944

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shobana Natarajan, M.D.

  • Internal Medicine Physician
  • South Plainfield, NJ
  • NPI 1639174394
  Medicare reassignment Care Compare group NPD Authorized official
• Nadisha Hosein, MS, PA-C

  • Physician Assistant
  • Piscataway, NJ
  • NPI 1932436797
  Medicare reassignment Care Compare group
• Nisha Bhaskar Patel, PA-C

  • Physician Assistant
  • Highland Park, NJ
  • NPI 1346825379
  Medicare reassignment

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

{
    "created_epoch": "1486425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486425600000",
    "number": "1972041143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3840 PARK AVE STE 103",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202563",
            "telephone_number": "732-515-9944",
            "fax_number": "732-515-9945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3840 PARK AVE STE 103",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202563",
            "telephone_number": "732-515-9944",
            "fax_number": "732-515-9945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY LIFE MD., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-07",
        "last_updated": "2017-02-07",
        "status": "A",
        "authorized_official_last_name": "NATARAJAN",
        "authorized_official_first_name": "SHOBANA",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "732-515-9944"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sarah Heber, PSY.D.
• Eric Heckelmann
• Elliot Heller, M.D.

• Internal Medicine Physician in Edison, NJ
• Providers in Edison, 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 Feb 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.