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A PROGRESSIVE LONGEVITY CENTER,LLC
NPI 1568515500
Internal Medicine in Jersey City, NJ

Active since January 21, 2007
2555 JOHN F KENNEDY BLVD, D, JERSEY CITY, NJ 07304(201) 761-0717(201) 761-0787 Get Directions Write a Review

NPPES record last updated: March 25, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About A Progressive Longevity Center,llc NPPES

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

A PROGRESSIVE LONGEVITY CENTER,LLC (NPI 1568515500) is a healthcare organization registered as an internal medicine in Jersey City, New Jersey and active in the NPI registry since January 2007. The organization lists Adelia Moustiatse, Owner, as its authorized official.

NPPES Registry Identity

NPI1568515500
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameA PROGRESSIVE LONGEVITY CENTER,LLC
Location Address2555 JOHN F KENNEDY BLVD, DJersey City, NJ 07304-2165
Mailing Address100 Winston Dr, 5 HsCliffside Park, NJ 07010-3240 · (201) 761-0717 · Fax (201) 761-0787
Phone(201) 761-0717
Fax(201) 761-0787
Organization SubpartNo
Authorized OfficialAdelia MoustiatseOwner · (201) 761-0717
Enumeration DateJanuary 21, 2007
Last NPPES UpdateMarch 25, 2009
✔ NPI 1568515500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · MA06826400
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2555 JOHN F KENNEDY BLVD, Jersey City, NJ 07304
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Other Identifiers 3

Medicaid7866305NJ
Medicare PIN086507NJ
Medicare UPING88045NJ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. DREW RICHARD LOMBARDI D.M.D.
Dentist (Orthodontics and Dentofacial Orthopedics)
2555 JOHN F KENNEDY BLVD
JERSEY CITY, NJ 07304
Hudson County (201) 432-4544

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 A Progressive Longevity Center,llc's NPI number?

The NPI number for A Progressive Longevity Center,llc is 1568515500. It was assigned to this organization in the NPPES registry on January 21, 2007.

Where is A Progressive Longevity Center,llc located?

A Progressive Longevity Center,llc is located at 2555 John F Kennedy Blvd D, Jersey City, NJ 07304. The listed phone number is (201) 761-0717.

What is A Progressive Longevity Center,llc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for A Progressive Longevity Center,llc was last updated on March 25, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.