LIFESTYLE MEDICINE NEW HAVEN LLC
NPI 1477357457
Nurse Practitioner - Family in Hamden, CT

Q: What is Lifestyle Medicine New Haven LLC's NPI number?

The NPI number for Lifestyle Medicine New Haven LLC is 1477357457. It was assigned to this organization in the NPPES registry on April 1, 2025.

Q: What is Lifestyle Medicine New Haven LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since April 01, 2025

496 NEWHALL ST STE 206, HAMDEN, CT 06517(203) 859-4476(949) 703-7019 Get Directions Write a Review

NPPES record last updated: July 21, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 21, 2026, Aug 14, 2025, Apr 1, 2025 (3 updates tracked since 2025).

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About Lifestyle Medicine New Haven Llc NPPES

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

LIFESTYLE MEDICINE NEW HAVEN LLC (NPI 1477357457) is a healthcare organization registered as a family in Hamden, Connecticut and active in the NPI registry since April 2025. The organization lists Ifeoma Nwokoye, Ceo And Founder, as its authorized official.

NPPES Registry Identity

NPI1477357457

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameLIFESTYLE MEDICINE NEW HAVEN LLC

Location Address496 NEWHALL ST STE 206Hamden, CT 06517-3248

Mailing Address61 Loomis PlNew Haven, CT 06511-2222 · (347) 681-7196 · Fax (949) 703-7019

Phone(203) 859-4476

Fax(949) 703-7019

Organization SubpartNo

Authorized OfficialIfeoma NwokoyeCeo And Founder · (203) 859-4476

Enumeration DateApril 1, 2025

Last NPPES UpdateJuly 21, 20263 updates tracked since enumeration

NPPES CertifiedJuly 21, 2026

✔ NPI 1477357457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

496 NEWHALL ST STE 206, Hamden, CT 06517

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lifestyle Medicine New Haven Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Lifestyle Medicine New Haven LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ifeoma Nwokoye, FNP

Nurse Practitioner

NPI 1134662174

496 NEWHALL ST STE 206
Hamden, CT 06517

(203) 859-4476

✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Lifestyle Medicine New Haven LLC's NPI number?

The NPI number for Lifestyle Medicine New Haven LLC is 1477357457. It was assigned to this organization in the NPPES registry on April 1, 2025.

Where is Lifestyle Medicine New Haven LLC located?

Lifestyle Medicine New Haven LLC is located at 496 Newhall St Ste 206, Hamden, CT 06517. The listed phone number is (203) 859-4476.

What is Lifestyle Medicine New Haven LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Lifestyle Medicine New Haven LLC enrolled in Medicare?

Yes. Lifestyle Medicine New Haven LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lifestyle Medicine New Haven LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Lifestyle Medicine New Haven LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Lifestyle Medicine New Haven LLC was last updated on July 21, 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.