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LIFELONG MEDICAL P.C. NPI 1508817768


NPI Information

NPI: 1508817768
Provider Name: LIFELONG MEDICAL, P.C.
Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

CLIA Number: 33D1004384

Address:
2569 OCEAN AVE
BROOKLYN, NY
ZIP 11229
Phone: (718) 743-7090
Get Directions

LIFELONG MEDICAL, P.C. is a gastroenterology internal medicine in Brooklyn, NY. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. LIFELONG MEDICAL, P.C. NPI is 1508817768. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2569 OCEAN AVE
BROOKLYN, NY
ZIP 11229-576
Phone: (718) 743-7090

The provider's authorized official is Yuriy Pertsovsky .
The authorized official title is President and has the following contact phone number (718) 743-7090.

The CLIA number assigned to this NPI record is 33D1004384 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 5/12/2006 and was last updated on 4/5/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RG0100XInternal MedicineGastroenterology214362NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1H33817MEDICARE UPINNEW YORK
2W3V011MEDICARE PIN

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.