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Enrollment ID O20250109001044 resolves to a single NPI record. Open the full profile for complete detail.

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NPI · 1164100657 · Active

Lifemd Atlantic Patient Medical Care PC

Clinic/Center · Hoboken, New Jersey

Active

NPI

1164100657

Enrollment ID

O20250109001044

Taxonomy

261Q00000X

Type

Part B Supplier - Clinic/Group Practice

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Medicare enrollment

This provider holds 26 Medicare enrollments on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

O20240311003737Clinic/Group PracticeNC
O20240820001664Clinic/Group PracticeVA
O20240927000142Clinic/Group PracticeNJ
O20250109001044Clinic/Group PracticePA
O20250122000200Clinic/Group PracticeMD
O20250303001065Clinic/Group PracticeDC
O20250416003824Clinic/Group PracticeSC
O20250718003235Clinic/Group PracticeSD
O20250728000364Clinic/Group PracticeCO
O20250811003871Clinic/Group PracticeOK
O20250813001574Clinic/Group PracticeNJ
O20250815000573Clinic/Group PracticeKY
O20250819003776Clinic/Group PracticeTN
O20250903003490Clinic/Group PracticeNE
O20250903004331Clinic/Group PracticeGA
O20250904001177Clinic/Group PracticeTN
O20250910002833Clinic/Group PracticeMS
O20250911001100Clinic/Group PracticeMO
O20250915002438Clinic/Group PracticeFL
O20250915002512Clinic/Group PracticeIN
O20250924000471Clinic/Group PracticeLA
O20251008001160Clinic/Group PracticeNY
O20251014002233Clinic/Group PracticeOH
O20251015003328Clinic/Group PracticeTX
O20251030000679Clinic/Group PracticeIL
O20251103001489Clinic/Group PracticeNH

Source: CMS PECOS public enrollment file.

ReferenceAbout Medicare Enrollment IDs

A Medicare Enrollment ID (ENRLMT_ID) is a 15-character public identifier assigned by the CMS Provider Enrollment, Chain and Ownership System (PECOS) when a provider, supplier, or organisation enrols in Medicare. Each row reflects one enrolment record: a single NPI can hold multiple enrolments across provider types, states, or supplier categories. Data here is mirrored from the quarterly public PECOS enrolment file published on data.cms.gov.