# ATLAS LIFESPAN, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548104482
- **Authorized official:** DR. DEEP BHUPENDRA TRIVEDI MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (631) 291-1480

## Contact information

- **Practice address:** 16 HARMONY LN, MONMOUTH JUNCTION, NJ 08852-2815
- **Practice address phone:** (631) 291-1480
- **Practice address fax:** (631) 291-1480
- **Mailing address:** 16 HARMONY LN, MONMOUTH JUNCTION, NJ 08852-2815
- **Mailing address phone:** (631) 291-1480
- **Mailing address fax:** (631) 291-1480

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 202D00000X | Integrative Medicine Physician | — | NULL | — |
| 202D00000X | Integrative Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 208800000X | Urology Physician | — | NULL | — |
| 208800000X | Urology Physician | — | — | — |

## Other

- **Enumeration date:** 04/20/2026
- **Last updated:** 04/20/2026