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LIFE MEDICAL GROUP, PC
NPI 1134939333
Clinic/Center - Multi-Specialty in East Hanover, NJ

Active since January 09, 2025CLIA 31D2322466 · Certificate of Compliance
120 EAGLE ROCK AVE STE 200, EAST HANOVER, NJ 07936(973) 607-4911(973) 607-4911 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Jul 15, 2026, Mar 27, 2026, May 9, 2025 and 4 more (7 updates tracked since 2025).

About Life Medical Group, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFE MEDICAL GROUP, PC (NPI 1134939333) is a healthcare organization registered as a multi-specialty in East Hanover, New Jersey and active in the NPI registry since January 2025. The organization holds a CLIA Certificate of Compliance certificate valid through April 21, 2027, maintains 2 additional practice locations, and lists Mark A Merlin, Chief Medical Officer, as its authorized official.

NPPES Registry Identity

NPI1134939333
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameLIFE MEDICAL GROUP, PC
Location Address120 EAGLE ROCK AVE STE 200East Hanover, NJ 07936-3159
Mailing Address120 Eagle Rock Ave Ste 200East Hanover, NJ 07936-3159 · (973) 607-4911 · Fax (973) 607-4911
Phone(973) 607-4911
Fax(973) 607-4911
Organization SubpartNo
Authorized OfficialMark A MerlinChief Medical Officer · (973) 650-0342
Enumeration DateJanuary 9, 2025
Last NPPES UpdateJuly 15, 20267 updates tracked since enumeration
NPPES CertifiedJuly 15, 2026
✔ NPI 1134939333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedEmergency MedicineTaxonomy 207P00000X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedSpecialist/Technologist, Pathology · Laboratory ManagementTaxonomy 246QL0900X
Also ListedHome HealthTaxonomy 251E00000X
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
120 EAGLE ROCK AVE STE 200, East Hanover, NJ 07936
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Secondary Practice Locations 2

Location 1477 State Route 10 Ste 204Randolph, NJ 07869-2144 · Phone (973) 607-4911 · Fax (973) 607-4911
Location 270 S Orange Ave Ste 235Livingston, NJ 07039-4915 · Phone (973) 607-4911 · Fax (973) 607-4911

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 31D2322466

Life Medical Group, PC · Randolph, NJ
Active · expires Apr 21, 2027
CLIA Number31D2322466
Laboratory TypeMobile Laboratory
Certificate Effective DateApril 22, 2025
Certificate Expiration DateApril 21, 2027
Laboratory DirectorMark A. Merlin
Laboratory Phone(973) 607-4911
Laboratory LocationLife Medical Group, PC477 Nj 10 Suite 204, Randolph, NJ 07869
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LIFE MOBILE IMAGING, INC
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
120 EAGLE ROCK AVE STE 200
EAST HANOVER, NJ 07936
Morris County (973) 607-4911

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Life Medical Group, PC's NPI number?

The NPI number for Life Medical Group, PC is 1134939333. It was assigned to this organization in the NPPES registry on January 9, 2025.

Where is Life Medical Group, PC located?

Life Medical Group, PC is located at 120 Eagle Rock Ave Ste 200, East Hanover, NJ 07936. The listed phone number is (973) 607-4911.

What is Life Medical Group, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Life Medical Group, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 31D2322466) is associated with this NPI, valid through April 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Life Medical Group, PC was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.