Healthcare Provider Details

I. General information

NPI: 1285564823
Provider Name (Legal Business Name): LIFELINE EMED COMPANIES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 LIBERTY AVE UNIT D11
JERSEY CITY NJ
07306-5032
US

IV. Provider business mailing address

75 LIBERTY AVE UNIT D11
JERSEY CITY NJ
07306-5032
US

V. Phone/Fax

Practice location:
  • Phone: 917-885-0704
  • Fax: 917-885-0704
Mailing address:
  • Phone: 917-885-0704
  • Fax: 917-885-0704

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: UNKNOWN SANIYA SADAF
Title or Position: DIRECTOR
Credential:
Phone: 917-885-0704