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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: October 18, 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
Phone(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
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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brooklyn Longevity Nutrition, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Brooklyn Longevity Nutrition, PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Zhen Deng, RD
Registered Dietitian or Nutrition Professional
NPI 1174181713
2054 BAY RIDGE AVE
Brooklyn, NY 11204
(347) 370-1237
✔ Accepts MedicareSame address
Kent Leong, RD
Registered Dietitian or Nutrition Professional
NPI 1811754872
7002 RIDGE BLVD
Brooklyn, NY 11209
(718) 407-4174
2.7 mi

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 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.

Is Brooklyn Longevity Nutrition, PLLC enrolled in Medicare?

Yes. Brooklyn Longevity Nutrition, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Brooklyn Longevity Nutrition, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Registered Dietitian or Nutrition Professional, reassign their Medicare billing to Brooklyn Longevity Nutrition, PLLC. 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 at this address and 2 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 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 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.