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MEDI WEIGHTLOSS LIVINGSTON
NPI 1912450008
Family Medicine in Livingston, NJ

Active since July 26, 2016CLIA 31D2070297 · Waiver
5 REGENT ST, SUITE 509, LIVINGSTON, NJ 07039(973) 251-2437(973) 251-2654 Get Directions Write a Review

NPPES record last updated: July 26, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Medi Weightloss Livingston NPPES

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

MEDI WEIGHTLOSS LIVINGSTON (NPI 1912450008) is a healthcare organization registered as a family medicine in Livingston, New Jersey and active in the NPI registry since July 2016. The organization holds a CLIA Waiver certificate valid through December 11, 2027 and lists Wendie Nonclerc, Director Of Insurance Development, as its authorized official.

NPPES Registry Identity

NPI1912450008
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLIVINGSTON 1 WEIGHTLOSS, LLC
Location Address5 REGENT ST, SUITE 509Livingston, NJ 07039-1675
Mailing Address5 Regent St, Suite 509Livingston, NJ 07039-1675 · (973) 251-2437 · Fax (973) 251-2654
Phone(973) 251-2437
Fax(973) 251-2654
Organization SubpartNo
Authorized OfficialWendie NonclercDirector Of Insurance Development · (813) 228-6334
Enumeration DateJuly 26, 2016
✔ NPI 1912450008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5 REGENT ST, Livingston, NJ 07039
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Other Names 1

Doing Business AsMedi Weightloss Livingston

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 Waiver 31D2070297

Livingston Medi-Weightloss Clinic · Livingston, NJ
Active · expires Dec 11, 2027
CLIA Number31D2070297
Laboratory TypeWeight Loss Clinic
Certificate Effective DateDecember 12, 2025
Certificate Expiration DateDecember 11, 2027
Laboratory DirectorMichael J. Straker
Laboratory Phone(973) 251-2437
Laboratory LocationLivingston Medi-Weightloss Clinic5 Regent Street Suite 509, Livingston, NJ 07039
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 13

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

FEDCAP REHABILITATION SERVICES
Day Training, Developmentally Disabled Services
5 REGENT ST, SUITE 528
LIVINGSTON, NJ 07039
Essex County (973) 533-1662
MR. JOHN C CLARK PHARM D
Pharmacist
5 REGENT ST, SUITE 506
LIVINGSTON, NJ 07039
Essex County (800) 552-3461
GLADIETTE NKIRU APN
Nurse Practitioner (Psychiatric/Mental Health)
5 REGENT ST, SUITE 517
LIVINGSTON, NJ 07039
Essex County (973) 994-1011
LEANNE KACSUR DPT
Physical Therapist
5 REGENT ST, SUITE 503
LIVINGSTON, NJ 07039
Essex County (973) 422-0888
DR. LAURA HESSELINK D.O.
Psychiatry & Neurology (Psychiatry)
5 REGENT ST, SUITE 518
LIVINGSTON, NJ 07039
Essex County (973) 994-1011
TOMMY HOANG LPC
Counselor (Professional)
5 REGENT ST
LIVINGSTON, NJ 07039
Essex County (973) 994-1011
SIGRID MARIA SCRUGGS DPT
Physical Therapist
5 REGENT ST, SUITE 503
LIVINGSTON, NJ 07039
Essex County (973) 422-0888
AMERICAN SLEEP PRODUCTS
Durable Medical Equipment & Medical Supplies
5 REGENT ST, SUITE 112
LIVINGSTON, NJ 07039
Essex County (973) 422-9030

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 Livingston 1 Weightloss, LLC's NPI number?

The NPI number for Livingston 1 Weightloss, LLC is 1912450008. It was assigned to this organization in the NPPES registry on July 26, 2016. The provider is doing business as Medi Weightloss Livingston.

Where is Livingston 1 Weightloss, LLC located?

Livingston 1 Weightloss, LLC is located at 5 Regent St Suite 509, Livingston, NJ 07039. The listed phone number is (973) 251-2437.

What is Livingston 1 Weightloss, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Livingston 1 Weightloss, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2070297) is associated with this NPI, valid through December 11, 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 Livingston 1 Weightloss, LLC was last updated on July 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.