LONGEVITY CLINICAL LTC ASSOCIATES OF NEW JERSEY
NPI 1376114322
Nurse Practitioner - Primary Care in Lakewood, NJ

Q: 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.

Active since July 09, 2021

527 RIVER AVE, LAKEWOOD, NJ 08701(732) 905-0700 Get Directions Write a Review

NPPES record last updated: July 9, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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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

NPI1376114322

Entity TypeOrganization

Primary Taxonomy363LP2300X

Legal Business NameLONGEVITY CLINICAL LTC ASSOCIATES OF NEW JERSEY

Location Address527 RIVER AVELakewood, NJ 08701-4722

Mailing Address11770 Us Highway 1 Ste 102ePalm Beach Gardens, FL 33408-3052

Phone(732) 905-0700

Organization SubpartNo

Authorized OfficialDiane VincurClinical Support Talent Specialist · (561) 815-2427

Enumeration DateJuly 9, 2021

NPPES CertifiedJuly 9, 2021

✔ NPI 1376114322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedFamily Medicine · Geriatric MedicineTaxonomy 207QG0300X

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X

527 RIVER AVE, Lakewood, NJ 08701

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHORE HEALTH CARE CENTER, INC.

Skilled Nursing Facility

527 RIVER AVE
LAKEWOOD, NJ 08701

Ocean County (732) 905-0700

MARY GRACE FONDEVILLA SEMBRANO PT

Physical Therapist

527 RIVER AVE
LAKEWOOD, NJ 08701

Ocean County (732) 905-0700

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.

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.