BROOKLYN LONGEVITY NUTRITION, PLLC
NPI 1376188540
Clinic/Center in Brooklyn, NY

Active since November 12, 2019
2054 BAY RIDGE AVE BSMT, BROOKLYN, NY 11204(646) 875-1655 Get Directions Write a Review

NPPES record last updated: August 24, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 24, 2021, Jul 12, 2021, Nov 12, 2019 (3 updates tracked since 2019).

About Brooklyn Longevity Nutrition, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BROOKLYN LONGEVITY NUTRITION, PLLC (NPI 1376188540) is a healthcare organization registered as a clinic/center in Brooklyn, New York and active in the NPI registry since November 2019. The organization lists Zhen Deng, Owner, as its authorized official.

NPPES Registry Identity

NPI1376188540
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameBROOKLYN LONGEVITY NUTRITION, PLLC
Location Address2054 BAY RIDGE AVE BSMTBrooklyn, NY 11204-4629
Mailing Address2054 Bay Ridge AveBrooklyn, NY 11204-4629 · (646) 875-1655
Organization SubpartNo
Authorized OfficialZhen DengOwner · (646) 875-1655
Enumeration DateNovember 12, 2019
Last NPPES UpdateAugust 24, 20213 updates tracked since enumeration
NPPES CertifiedAugust 24, 2021
NPI 1376188540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
2054 BAY RIDGE AVE BSMT, Brooklyn, NY 11204

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 Brooklyn Longevity Nutrition, PLLC's NPI number?

The NPI number for Brooklyn Longevity Nutrition, PLLC is 1376188540. It was assigned to this organization in the NPPES registry on November 12, 2019.

Where is Brooklyn Longevity Nutrition, PLLC located?

Brooklyn Longevity Nutrition, PLLC is located at 2054 Bay Ridge Ave Bsmt, Brooklyn, NY 11204. The listed phone number is (646) 875-1655.

What is Brooklyn Longevity Nutrition, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Brooklyn Longevity Nutrition, PLLC was last updated on August 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.