OrganizationActive
Living Well Medical Support LLC
NPI 1609026798 · Exclusive Provider Organization · New Brunswick, NJ
Provider details
- NPI number
- 1609026798
- Entity type
- Organization
- Primary specialty
- Exclusive Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Alfred Peng, Manager(561) 251-6781
- License
- 25MA05520200 (NJ)
Specialties & taxonomies
Managed Care Organizations
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
78 Easton Ave
First Floor
New Brunswick, NJ 08901-1885
Phone: (732) 828-1003
Fax: (732) 828-0775
Street-level locationGet directions
Mailing address
214 Hidden Woods Ct
Piscataway, NJ 08854-3060
Registry dates
- Enumerated
- 2008-09-24
- Last updated
- 2009-02-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.