LONGEVITY CLINICAL LTC ASSOCIATES OF NEW JERSEY
NPI 1376114322
Nurse Practitioner - Primary Care in Lakewood, NJ
About Longevity Clinical Ltc Associates Of New Jersey NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LONGEVITY CLINICAL LTC ASSOCIATES OF NEW JERSEY (NPI 1376114322) is a healthcare organization registered as a primary care in Lakewood, New Jersey and active in the NPI registry since July 2021. The organization lists Diane Vincur, Clinical Support Talent Specialist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Longevity Clinical Ltc Associates Of New Jersey is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
18Medicare enrollment records show 18 clinicians reassign Medicare billing to Longevity Clinical Ltc Associates Of New Jersey, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (18)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Longevity Clinical Ltc Associates Of New Jersey's NPI number?
The NPI number for Longevity Clinical Ltc Associates Of New Jersey is 1376114322. It was assigned to this organization in the NPPES registry on July 9, 2021.
Where is Longevity Clinical Ltc Associates Of New Jersey located?
Longevity Clinical Ltc Associates Of New Jersey is located at 527 River Ave, Lakewood, NJ 08701. The listed phone number is (732) 905-0700.
What is Longevity Clinical Ltc Associates Of New Jersey's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Longevity Clinical Ltc Associates Of New Jersey enrolled in Medicare?
Yes. Longevity Clinical Ltc Associates Of New Jersey is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Longevity Clinical Ltc Associates Of New Jersey?
According to the CMS Revalidation Reassignment List (October 2026 release), 18 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Longevity Clinical Ltc Associates Of New Jersey. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Longevity Clinical Ltc Associates Of New Jersey was last updated on July 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Longevity Clinical Ltc Associates Of New Jersey · NPI 1376114322
Primary Care organization in Lakewood, New Jersey. Organization record, active in the CMS NPPES registry since July 9, 2021.
## Identity
- **NPI:** 1376114322 (Entity type: Organization)
- **Enumerated:** July 9, 2021
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **Organization subpart:** No
- **Authorized official:** Diane Vincur, CLINICAL SUPPORT TALENT SPECIALIST
## Practice location
- **Address:** 527 RIVER AVE, Lakewood, NJ 08701-4722
- **Phone:** (732) 905-0700
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 18 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 9, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1376114322) · Data from the CMS NPPES public registry.