Provider Demographics
NPI:1922979301
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:
Authorized Official - First Name:SETH
Authorized Official - Middle Name:Z
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:SR
Authorized Official - Credentials:ED
Authorized Official - Phone:609-913-7188
Mailing Address - Street 1:127 US HIGHWAY 206
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08610-4300
Mailing Address - Country:US
Mailing Address - Phone:609-913-7188
Mailing Address - Fax:609-807-2488
Practice Address - Street 1:16 SOUTH RHODE AVE
Practice Address - Street 2:
Practice Address - City:ATLANTIC CITY
Practice Address - State:NJ
Practice Address - Zip Code:08401
Practice Address - Country:US
Practice Address - Phone:609-913-7188
Practice Address - Fax:609-807-2488
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NEW LIFE GROUP NJ LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-09-17
Last Update Date:2025-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation CounselorGroup - Multi-Specialty