Organization
LIVING WELL MEDICAL SUPPORT LLC
Active
Organization
LIVING WELL MEDICAL SUPPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALFRED T. C. PENG M.D. (MANAGER)
(561) 251-6781
Entity
Organization
Contact information
Practice address
78 EASTON AVE, FIRST FLOOR, NEW BRUNSWICK, NJ 08901-1885
(732) 828-1003
(732) 828-0775
Mailing address
214 HIDDEN WOODS CT, PISCATAWAY, NJ 08854-3060
(561) 251-6781
(561) 994-3549
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
25MA05520200
NJ
Other
Enumeration date
09/24/2008
Last updated
02/23/2009
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up