LONGEVITY LONG TERM MEDICAL CARE OF NEW YORK, PLLC
NPI 1881345650
Nurse Practitioner - Primary Care in New York, NY

Active since January 13, 2022
485 MADISON AVE STE 202, NEW YORK, NY 10022(888) 885-7337 Get Directions Write a Review

NPPES record last updated: January 13, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Longevity Long Term Medical Care Of New York, Pllc NPPES

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

LONGEVITY LONG TERM MEDICAL CARE OF NEW YORK, PLLC (NPI 1881345650) is a healthcare organization registered as a primary care in New York, New York and active in the NPI registry since January 2022. The organization lists Diane Vincur, Clinical Support Talent Specialist, as its authorized official.

NPPES Registry Identity

NPI1881345650
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameLONGEVITY LONG TERM MEDICAL CARE OF NEW YORK, PLLC
Location Address485 MADISON AVE STE 202New York, NY 10022-5878
Mailing Address11770 Us Highway 1 Ste 102ePalm Beach Gardens, FL 33408-3052 · (561) 815-2427
Organization SubpartNo
Authorized OfficialDiane VincurClinical Support Talent Specialist · (561) 815-2427
Enumeration DateJanuary 13, 2022
NPPES CertifiedJanuary 13, 2022
✔ NPI 1881345650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedFamily Medicine · Geriatric MedicineTaxonomy 207QG0300X
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X
485 MADISON AVE STE 202, New York, NY 10022

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Longevity Long Term Medical Care Of New York, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

12

Medicare enrollment records show 12 clinicians reassign Medicare billing to Longevity Long Term Medical Care Of New York, PLLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (12)

Nurse Practitioner
NPI 1376265520
1 PENN PLZ
New York, NY 10119
(518) 818-4772
✔ PECOS1.1 mi
Nurse Practitioner
NPI 1649734245
150 EILEEN WAY UNIT 1
Syosset, NY 11791
(516) 855-5255
✔ PECOS24 mi
Nurse Practitioner
NPI 1003297599
7 SOUTHWOODS BLVD STE 17
Albany, NY 12211
(518) 292-6000
✔ PECOS✔ Accepts Medicare132 mi
Nurse Practitioner
NPI 1861800351
35 GILBERT ST CAMBRIDGE MEDICAL CENTER
Cambridge, NY 12816
(518) 677-3961
✔ PECOS✔ Accepts Medicare159 mi
Nurse Practitioner
NPI 1548935513
28 KELLOGG RD
Cortland, NY 13045
(607) 753-6060
✔ PECOS170 mi
Nurse Practitioner
NPI 1053674945
1729 BURRSTONE RD
New Hartford, NY 13413
(315) 798-1551
✔ PECOS175 mi
Nurse Practitioner
NPI 1982696332
9 HOMESTEAD CT
Clinton, NY 13323
(315) 507-1869
✔ PECOS176 mi
Nurse Practitioner
NPI 1710473632
3200 BURNET AVE
Syracuse, NY 13206
(315) 433-9999
✔ PECOS193 mi
Nurse Practitioner
NPI 1699155895
13407 STATE ROUTE 12
Boonville, NY 13309
(315) 404-6894
✔ PECOS201 mi
Nurse Practitioner
NPI 1821377573
11 WHEELER ST
Auburn, NY 13021
(315) 412-3484
✔ PECOS202 mi
Nurse Practitioner
NPI 1801848411
300 MERIDIAN CENTRE BLVD STE 320
Rochester, NY 14618
(716) 985-4494
✔ PECOS246 mi
Nurse Practitioner
NPI 1356765200
26 CASS ST
Westfield, NY 14787
(716) 680-2890
✔ PECOS✔ Accepts Medicare310 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 Longevity Long Term Medical Care Of New York, PLLC's NPI number?

The NPI number for Longevity Long Term Medical Care Of New York, PLLC is 1881345650. It was assigned to this organization in the NPPES registry on January 13, 2022.

Where is Longevity Long Term Medical Care Of New York, PLLC located?

Longevity Long Term Medical Care Of New York, PLLC is located at 485 Madison Ave Ste 202, New York, NY 10022. The listed phone number is (888) 885-7337.

What is Longevity Long Term Medical Care Of New York, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Longevity Long Term Medical Care Of New York, PLLC enrolled in Medicare?

Yes. Longevity Long Term Medical Care Of New York, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Longevity Long Term Medical Care Of New York, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Longevity Long Term Medical Care Of New York, 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 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 Longevity Long Term Medical Care Of New York, PLLC was last updated on January 13, 2022. 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.