LIFE MEDICAL GROUP, PC
NPI 1134939333
Clinic/Center - Multi-Specialty in East Hanover, NJ
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 Waiver certificate valid through November 16, 2027, maintains 2 additional practice locations, and lists Mark A Merlin, Chief Medical Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 6
Secondary Practice Locations 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Life Medical Group, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
18Medicare enrollment records show 18 clinicians reassign Medicare billing to Life Medical Group, PC, which bills Medicare for the services they deliver. Of these, 6 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 6
Clinicians, nearest first (18)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Waiver 31D2322466
Life Medical Group · Randolph, NJFrequently 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.
Is Life Medical Group, PC enrolled in Medicare?
Yes. Life Medical Group, PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Life Medical Group, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 18 clinicians in 6 Medicare specialties reassign their Medicare billing to Life Medical Group, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (10), Podiatry (3) and Family Practice (2). Of these, 6 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Life Medical Group, PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 31D2322466) is associated with this NPI, valid through November 16, 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 3 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.
# Life Medical Group, Pc · NPI 1134939333
Multi-Specialty organization in East Hanover, New Jersey. Organization record, active in the CMS NPPES registry since January 9, 2025.
## Identity
- **NPI:** 1134939333 (Entity type: Organization)
- **Enumerated:** January 9, 2025
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Organization subpart:** No
- **Authorized official:** Mark Merlin, CHIEF MEDICAL OFFICER
## Practice location
- **Address:** 120 EAGLE ROCK AVE STE 200, East Hanover, NJ 07936-3159
- **Phone:** (973) 607-4911 · **Fax:** (973) 607-4911
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 18 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (10), Podiatry (3), Family Practice (2); 6 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 15, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1134939333) · Data from the CMS NPPES public registry.