Active NPIOrganization

Longevity Clinical Ltc Associates Of Massachusetts, PLLC

Family Medicine, Geriatric Medicine in Springfield, Massachusetts

NPI Number1114746559
Practice location
75 Market St, Springfield, MA 01103-1640
Fax
—
Last updated
October 3, 2024

Longevity Clinical Ltc Associates Of Massachusetts, PLLC is a healthcare organization based in Springfield, MA. Longevity Clinical Ltc Associates Of Massachusetts, PLLC practices in Springfield, MA. The NPI Number for Longevity Clinical Ltc Associates Of Massachusetts, PLLC is 1114746559. The current practice location address for Longevity Clinical Ltc Associates Of Massachusetts, PLLC is 75 Market St, Springfield, MA 01103-1640 and can be reached out via phone at 561-815-2427.

Provider Profile Details

NPI Number
1114746559
Provider Name
Longevity Clinical Ltc Associates Of Massachusetts, PLLC
Provider Entity Type
Organization
Address
75 Market St, Springfield, MA 01103-1640
Phone Number
561-815-2427
Primary Taxonomy
Family Medicine, Geriatric Medicine · 207QG0300X
Organization Subpart
No
Authorized Official
Diane Vincur · Manager · 561-815-2427
Provider Enumeration Date
October 3, 2024
Last Update Date
October 3, 2024
Certification Date
October 3, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
75 Market St
Springfield, MA 01103-1640
Zip
01103-1640
Phone Number
561-815-2427
Springfield, MA 01103Get directions →

Provider Business Mailing Address Details

Address
11780 US Highway 1 Ste N107
North Palm Beach, FL 33408-3007
City
North Palm Beach
State
FL
Zip
33408-3007
Phone Number
561-815-2427

License Information

Taxonomy (1)
Family Medicine, Geriatric Medicine · 207QG0300X · Primary
Taxonomy (2)
Nurse Practitioner, Gerontology · 363LG0600X
Taxonomy (3)
Nurse Practitioner, Primary Care · 363LP2300X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Longevity Clinical Ltc Associates Of Massachusetts, PLLC?

The NPI number of Longevity Clinical Ltc Associates Of Massachusetts, PLLC is 1114746559. It was assigned on October 3, 2024 and is currently active in the NPPES registry.

What is the specialty of Longevity Clinical Ltc Associates Of Massachusetts, PLLC?

Longevity Clinical Ltc Associates Of Massachusetts, PLLC is registered under the primary taxonomy Family Medicine, Geriatric Medicine (code 207QG0300X).

Where does Longevity Clinical Ltc Associates Of Massachusetts, PLLC practice?

The practice location is 75 Market St, Springfield, MA 01103-1640. The office can be reached at 561-815-2427 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114746559 directly on the NPPES registry website.

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