| Total Life Nj P.a. | |
|
317 George St Ste 320 New Brunswick NJ 08901-2091 | |
| (800) 567-5433 | |
| (888) 432-8212 |
| Full Name | Total Life Nj P.a. |
|---|---|
| Speciality | Psychologist |
| Location | 317 George St Ste 320, New Brunswick, New Jersey |
| Authorized Official Name and Position | Neelkamal Brar (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 8005675433 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Total Life Nj P.a. 110 Front St Ste 300 Jupiter FL 33477-5095 Ph: (800) 567-5433 | Total Life Nj P.a. 317 George St Ste 320 New Brunswick NJ 08901-2091 Ph: (800) 567-5433 |
| NPI Number | 1104659614 |
|---|---|
| Provider Enumeration Date | 08/21/2024 |
| Last Update Date | 01/21/2025 |
| Certification Date | 01/21/2025 |
| Medicare PECOS PAC ID | 8921549551 |
|---|---|
| Medicare Enrollment ID | O20240923001300 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104659614 | NPI | - | NPPES |
| Provider Name | Althea D David |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356550560 PECOS PAC ID: 6507965217 Enrollment ID: I20070621000136 |
| Provider Name | Delia Livres |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952764516 PECOS PAC ID: 8123312444 Enrollment ID: I20160810000341 |
| Provider Name | Themistoklis Bakelas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033936265 PECOS PAC ID: 5395277073 Enrollment ID: I20241018002714 |
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