OrganizationActive
Live Life Now Health Group of Nj PC
NPI 1215566393 · Addiction Medicine (Family Medicine) Physician · Mount Laurel, NJ
Provider details
- NPI number
- 1215566393
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Vicky Diaz, Insurance Operations Manager(917) 529-2030
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
309 Fellowship Rd Ste 200
Mount Laurel, NJ 08054-1234
Phone: (646) 960-3553
Approximate (ZIP-level) locationGet directions
Mailing address
309 Fellowship Rd Ste 200
Mount Laurel, NJ 08054-1234
Other names (DBA / former)
- Doing business as
- Monument Telehealth Group
- Doing business as
- Monument Telehealth Group
Registry dates
- Enumerated
- 2020-04-02
- Last updated
- 2026-02-11
- Certified
- 2026-02-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.