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PRINCETON LONGEVITY MEDICAL GROUP OF VIRGINIA LLC
NPI 1659615045
Internal Medicine in Fairfax, VA

Active since November 26, 2012
8503 ARLINGTON BLVD, FAIRFAX, VA 22031(609) 430-0752 Get Directions Write a Review

NPPES record last updated: November 26, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Princeton Longevity Medical Group Of Virginia Llc NPPES

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

PRINCETON LONGEVITY MEDICAL GROUP OF VIRGINIA LLC (NPI 1659615045) is a healthcare organization registered as an internal medicine in Fairfax, Virginia and active in the NPI registry since November 2012. The organization lists David Fein, President, as its authorized official.

NPPES Registry Identity

NPI1659615045
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePRINCETON LONGEVITY MEDICAL GROUP OF VIRGINIA LLC
Location Address8503 ARLINGTON BLVDFairfax, VA 22031-4628
Mailing Address8503 Arlington BlvdFairfax, VA 22031-4628 · (609) 430-0752
Phone(609) 430-0752
Organization SubpartNo
Authorized OfficialDavid FeinPresident · (609) 430-0752
Enumeration DateNovember 26, 2012
✔ NPI 1659615045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
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.
8503 ARLINGTON BLVD, Fairfax, VA 22031
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Other Identifiers 1

Medicare UPINC56681

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 20

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

YONGSOOK VICTORIA SUH M.D.
Specialist
8503 ARLINGTON BLVD, SUITE 130
FAIRFAX, VA 22031
Fairfax County (703) 846-0097
MRS. ALISON BETH MANTUA PA-C
Physician Assistant (Medical)
8503 ARLINGTON BLVD, SUITE 310
FAIRFAX, VA 22031
Fairfax County (703) 208-4200
FAIRFAX RADIOLOGICAL CONSULTANTS PC
Specialist
8503 ARLINGTON BLVD, SUITE LL100
FAIRFAX, VA 22031
Fairfax County (703) 698-4483
LABORATORY CORPORATION OF AMERICA
Clinical Medical Laboratory
8503 ARLINGTON BLVD, SUITE 310 A
FAIRFAX, VA 22031
Fairfax County (703) 707-2262
CHAVALIA J. BREECE NP
Nurse Practitioner (Adult Health)
8503 ARLINGTON BLVD, #120
FAIRFAX, VA 22031
Fairfax County (703) 573-3494
MAUREEN ROSS N.P.
Nurse Practitioner (Adult Health)
8503 ARLINGTON BLVD, SUITE 400
FAIRFAX, VA 22031
Fairfax County (703) 280-5390
FAIRFAX RADIOLOGICAL CONSULTANTS PC
Specialist
8503 ARLINGTON BLVD, STE LL100
FAIRFAX, VA 22031
Fairfax County (703) 698-4483
MARYANNE TARKINGTON MD
Urology
8503 ARLINGTON BLVD, #310
FAIRFAX, VA 22031
Fairfax County (703) 208-4200

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 Princeton Longevity Medical Group Of Virginia LLC's NPI number?

The NPI number for Princeton Longevity Medical Group Of Virginia LLC is 1659615045. It was assigned to this organization in the NPPES registry on November 26, 2012.

Where is Princeton Longevity Medical Group Of Virginia LLC located?

Princeton Longevity Medical Group Of Virginia LLC is located at 8503 Arlington Blvd, Fairfax, VA 22031. The listed phone number is (609) 430-0752.

What is Princeton Longevity Medical Group Of Virginia 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 Princeton Longevity Medical Group Of Virginia LLC was last updated on November 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.