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: July 19, 2026.

  • Organization
  • Nurse Practitioner
  • Primary Care

About LONGEVITY LONG TERM MEDICAL CARE OF NEW YORK, PLLC

This page provides the complete NPI Profile along with additional information for Longevity Long Term Medical Care Of New York, Pllc, a provider established in New York, New York operating as a Nurse Practitioner, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1881345650 assigned on January 2022. The practitioner's primary taxonomy code is 363LP2300X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Longevity Long Term Medical Care Of New York, Pllc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Diane Vincur (Clinical Support Talent Specialist)

NPI
1881345650 Verify this NPI
Provider Name
LONGEVITY LONG TERM MEDICAL CARE OF NEW YORK, PLLC
Entity Type
Organization
Location Address
485 MADISON AVE STE 202 NEW YORK, NY 10022
Location Phone
(888) 885-7337
Mailing Address
11770 US HIGHWAY 1 STE 102E PALM BEACH GARDENS, FL 33408
Mailing Phone
(561) 815-2427
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-13-2022
Last Update Date
01-13-2022
Code Navigator

A nurse practitioner (NP) like Longevity Long Term Medical Care Of New York, Pllc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Primary Care

Taxonomy Code
363LP2300X
Type
Physician Assistants & Advanced Practice Nursing Providers

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

 
2207QG0300XAllopathic & Osteopathic Physicians

Family Medicine
Geriatric Medicine

 
3363LG0600XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Gerontology

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DIANE VINCUR

Authorized Official Title
CLINICAL SUPPORT TALENT SPECIALIST
Authorized Official Phone
(561) 815-2427

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1881345650, enumerated as an "organization" on January 13, 2022.

The provider is located at 485 MADISON AVE STE 202 NEW YORK, NY 10022 and the phone number is (888) 885-7337.

Nurse Practitioner with taxonomy code 363LP2300X and a focus in Primary Care.