LONGEVITY CLINICAL LTC ASSOCIATES OF NEW JERSEY NPI 1376114322

NPI Information

NPI: 1376114322
Provider Name: LONGEVITY CLINICAL LTC ASSOCIATES OF NEW JERSEY
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
527 RIVER AVE
LAKEWOOD, NJ
ZIP 08701
Phone: (732) 905-0700
Get Directions

LONGEVITY CLINICAL LTC ASSOCIATES OF NEW JERSEY is a primary care nurse practitioner in Lakewood, NJ. LONGEVITY CLINICAL LTC ASSOCIATES OF NEW JERSEY NPI is 1376114322. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

527 RIVER AVE
LAKEWOOD, NJ
ZIP 08701-722
Phone: (732) 905-0700

The provider's authorized official is Diane Vincur .
The authorized official title is Clinical Support Talent Specialist and has the following contact phone number (561) 815-2427.

The enumeration date for this NPI number is 7/9/2021 and was last updated on 7/9/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207Q00000X	Family Medicine		No
2	207QG0300X	Family Medicine	Geriatric Medicine	No
3	363LG0600X	Nurse Practitioner	Gerontology	No
4	363LP2300X	Nurse Practitioner	Primary Care	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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