LIFE CLINIC OF NJ DC PA
NPI 1720575178
Chiropractor in Plainsborough, NJ

Active since April 20, 2018
7 FORRESTAL ROAD S, PLAINSBOROUGH, NJ 08536(612) 868-6894 Get Directions Write a Review

NPPES record last updated: April 20, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Life Clinic Of Nj Dc Pa NPPES

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

LIFE CLINIC OF NJ DC PA (NPI 1720575178) is a healthcare organization registered as a chiropractor in Plainsborough, New Jersey and active in the NPI registry since April 2018. The organization lists Reza Pour Alizadeh, Owner/dc, as its authorized official.

NPPES Registry Identity

NPI1720575178
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameLIFE CLINIC OF NJ DC PA
Location Address7 FORRESTAL ROAD SPlainsborough, NJ 08536
Mailing AddressPo Box 549Chanhassen, MN 55317-0549 · (612) 868-6894
Organization SubpartNo
Authorized OfficialReza Pour AlizadehOwner/dc · (612) 868-6894
Enumeration DateApril 20, 2018
✔ NPI 1720575178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in NJ · 38MC00735800
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
7 FORRESTAL ROAD S, Plainsborough, NJ 08536

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

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 Clinic Of Nj Dc Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Life Clinic Of Nj Dc PA, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (4)

Chiropractic
NPI 1417412966
532 OLD SHORT HILLS RD
Short Hills, NJ 07078
(973) 467-9011
✔ Accepts Medicare33 mi
Chiropractic
NPI 1962538223
33 GREENWICH AVE SUITE 1-C
New York, NY 10014
(212) 243-7800
✔ Accepts Medicare42 mi
Chiropractic
NPI 1356894117
1479 ROUTE 539
Little Egg Harbor Twp, NJ 08087
(609) 829-5656
✔ Accepts Medicare53 mi
Chiropractic
NPI 1326562034
7 WALNUT RD
Glen Cove, NY 11542
(516) 609-3100
✔ Accepts Medicare63 mi

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 Life Clinic Of Nj Dc PA's NPI number?

The NPI number for Life Clinic Of Nj Dc PA is 1720575178. It was assigned to this organization in the NPPES registry on April 20, 2018.

Where is Life Clinic Of Nj Dc PA located?

Life Clinic Of Nj Dc PA is located at 7 Forrestal Road S, Plainsborough, NJ 08536. The listed phone number is (612) 868-6894.

What is Life Clinic Of Nj Dc PA's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Life Clinic Of Nj Dc PA enrolled in Medicare?

Yes. Life Clinic Of Nj Dc PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Life Clinic Of Nj Dc PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Chiropractic, reassign their Medicare billing to Life Clinic Of Nj Dc PA. 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 Life Clinic Of Nj Dc PA was last updated on April 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.