A Progressive Longevity Center,llc
Internal Medicine in Jersey City, New Jersey
1568515500- Practice location
- 2555 John F Kennedy Blvd, D, Jersey City, NJ 07304-2165
- Phone
- 201-761-0717
- Fax
- 201-761-0787
- Last updated
- March 25, 2009
A Progressive Longevity Center,llc is a healthcare organization based in Jersey City, NJ. A Progressive Longevity Center,llc practices in Jersey City, NJ. The NPI Number for A Progressive Longevity Center,llc is 1568515500 and holds a License No. MA06826400 (NJ). The current practice location address for A Progressive Longevity Center,llc is 2555 John F Kennedy Blvd, D, Jersey City, NJ 07304-2165 and can be reached out via phone at 201-761-0717 and via fax at 201-761-0787.
Provider Profile Details
- NPI Number
- 1568515500
- Provider Name
- A Progressive Longevity Center,llc
- Provider Entity Type
- Organization
- Address
- 2555 John F Kennedy Blvd, D, Jersey City, NJ 07304-2165
- Phone Number
- 201-761-0717
- Fax Number
- 201-761-0787
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Organization Subpart
- No
- Authorized Official
- Dr. Adelia Moustiatse, MD · Owner · 201-761-0717
- Provider Enumeration Date
- January 21, 2007
- Last Update Date
- March 25, 2009
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2555 John F Kennedy Blvd
D
Jersey City, NJ 07304-2165 - City
- Jersey City
- State
- New Jersey
- Zip
- 07304-2165
- Phone Number
- 201-761-0717
- Fax Number
- 201-761-0787
Provider Business Mailing Address Details
- Address
- 100 Winston Dr
5 Hs
Cliffside Park, NJ 07010-3240 - City
- Cliffside Park
- State
- NJ
- Zip
- 07010-3240
- Phone Number
- 201-761-0717
- Fax Number
- 201-761-0787
License Information
- License Number
- MA06826400
- License State
- NJ
- Taxonomy
- Internal Medicine · 207R00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 A Progressive Longevity Center,llc?
The NPI number of A Progressive Longevity Center,llc is 1568515500. It was assigned on January 21, 2007 and is currently active in the NPPES registry.
What is the specialty of A Progressive Longevity Center,llc?
A Progressive Longevity Center,llc is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NJ under license number MA06826400.
Where does A Progressive Longevity Center,llc practice?
The practice location is 2555 John F Kennedy Blvd, D, Jersey City, NJ 07304-2165. The office can be reached at 201-761-0717 (phone) or 201-761-0787 (fax).
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 1568515500 directly on the NPPES registry website.