Longevity Medical Group, P.a.
Specialist in Paramus, New Jersey
1811229875- Practice location
- 2 Sears Dr, Paramus, NJ 07652-3539
- Phone
- 201-265-4647
- Fax
- —
- Last updated
- February 2, 2010
Longevity Medical Group, P.a. is a healthcare organization based in Paramus, NJ. Longevity Medical Group, P.a. practices in Paramus, NJ. The NPI Number for Longevity Medical Group, P.a. is 1811229875 and holds a License No. MA42243 (NJ). The current practice location address for Longevity Medical Group, P.a. is 2 Sears Dr, Paramus, NJ 07652-3539 and can be reached out via phone at 201-265-4647.
Provider Profile Details
- NPI Number
- 1811229875
- Provider Name
- Longevity Medical Group, P.a.
- Provider Entity Type
- Organization
- Address
- 2 Sears Dr, Paramus, NJ 07652-3539
- Phone Number
- 201-265-4647
- Primary Taxonomy
- Specialist · 174400000X
- Organization Subpart
- No
- Authorized Official
- Dr. Roger Howard Coletti, MD · President · 201-265-4647
- Other Names
- Longevity Medical Group, P.a. (Former Legal Business Name)
- Provider Enumeration Date
- February 2, 2010
- Last Update Date
- February 2, 2010
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2 Sears Dr
Paramus, NJ 07652-3539 - City
- Paramus
- State
- New Jersey
- Zip
- 07652-3539
- Phone Number
- 201-265-4647
Provider Business Mailing Address Details
- Address
- Po Box 8069
Paramus, NJ 07653-8069 - City
- Paramus
- State
- NJ
- Zip
- 07653-8069
- Phone Number
- 201-265-4647
License Information
- License Number
- MA42243
- License State
- NJ
- Taxonomy
- Specialist · 174400000X · 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 Longevity Medical Group, P.a.?
The NPI number of Longevity Medical Group, P.a. is 1811229875. It was assigned on February 2, 2010 and is currently active in the NPPES registry.
What is the specialty of Longevity Medical Group, P.a.?
Longevity Medical Group, P.a. is registered under the primary taxonomy Specialist (code 174400000X), licensed in NJ under license number MA42243.
Where does Longevity Medical Group, P.a. practice?
The practice location is 2 Sears Dr, Paramus, NJ 07652-3539. The office can be reached at 201-265-4647 (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 1811229875 directly on the NPPES registry website.