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LONGEVITY MEDICAL GROUP, P.A.
NPI 1811229875
Specialist in Paramus, NJ

Active since February 02, 2010

NPPES record last updated: February 2, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Longevity Medical Group, P.a. NPPES

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

LONGEVITY MEDICAL GROUP, P.A. (NPI 1811229875) is a healthcare organization registered as a specialist in Paramus, New Jersey and active in the NPI registry since February 2010. The organization lists Roger Howard Coletti, President, as its authorized official.

NPPES Registry Identity

NPI1811229875
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameLONGEVITY MEDICAL GROUP, P.A.
Location Address2 SEARS DRParamus, NJ 07652-3539
Mailing AddressPo Box 8069Paramus, NJ 07653-8069 · (201) 265-4647
Phone(201) 265-4647
Organization SubpartNo
Authorized OfficialRoger Howard ColettiPresident · (201) 265-4647
Enumeration DateFebruary 2, 2010
✔ NPI 1811229875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NJ · MA42243
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

2 SEARS DR, Paramus, NJ 07652
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Other Names 1

Former Legal Business NameLongevity Medical Group, P.a.

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 4

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

BERGEN MEDICAL IMAGING, LLC
Clinic/Center (Medical Specialty)
2 SEARS DR
PARAMUS, NJ 07652
Bergen County (201) 652-0188
DR. THEODORE P SGAMBATI M.D.
Internal Medicine
2 SEARS DR, FLOOR 2
PARAMUS, NJ 07652
Bergen County (201) 262-2333
NORTH AMERICAN DIAGNOSTIC IMAGING, LLC
Contractor
2 SEARS DR, 2ND FLOOR
PARAMUS, NJ 07652
Bergen County (800) 865-0500
ONE OAK MEDICAL GROUP, LLC
Specialist
2 SEARS DR
PARAMUS, NJ 07652
Bergen County (973) 870-0777

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 Medical Group, P.A.'s NPI number?

The NPI number for Longevity Medical Group, P.A. is 1811229875. It was assigned to this organization in the NPPES registry on February 2, 2010.

Where is Longevity Medical Group, P.A. located?

Longevity Medical Group, P.A. is located at 2 Sears Dr, Paramus, NJ 07652. The listed phone number is (201) 265-4647.

What is Longevity Medical Group, P.A.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Longevity Medical Group, P.A. was last updated on February 2, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.