Provider Demographics
NPI:1720884745
Name:NEW LIFE GROUP NJ LLC
Entity type:Organization
Organization Name:NEW LIFE GROUP NJ LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:SETH
Authorized Official - Middle Name:Z
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:609-433-5506
Mailing Address - Street 1:3525 QUAKERBRIDGE RD STE 2000
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08619-1270
Mailing Address - Country:US
Mailing Address - Phone:609-433-5506
Mailing Address - Fax:
Practice Address - Street 1:3525 QUAKERBRIDGE RD STE 2000
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08619-1270
Practice Address - Country:US
Practice Address - Phone:609-462-9430
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-20
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No276400000XHospital UnitsRehabilitation, Substance Use Disorder Unit