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LONGEVITY MEDICAL LLC
NPI 1972779486
Specialist in South Amboy, NJ

Active since May 05, 2008
540 BORDENTOWN AVENUE, SUITE 4200, SOUTH AMBOY, NJ 08879(732) 721-6789 Get Directions Write a Review

NPPES record last updated: May 5, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Longevity Medical Llc NPPES

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

LONGEVITY MEDICAL LLC (NPI 1972779486) is a healthcare organization registered as a specialist in South Amboy, New Jersey and active in the NPI registry since May 2008. The organization lists Lewis Korb, President, as its authorized official.

NPPES Registry Identity

NPI1972779486
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameLONGEVITY MEDICAL LLC
Location Address540 BORDENTOWN AVENUE, SUITE 4200South Amboy, NJ 08879-0157
Mailing Address540 Bordentown Avenue, Suite 4200South Amboy, NJ 08879-0157 · (732) 721-6789
Phone(732) 721-6789
Organization SubpartNo
Authorized OfficialLewis KorbPresident · (732) 721-6789
Enumeration DateMay 5, 2008
✔ NPI 1972779486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Licenses✔ Licensed in NJ · 38MC00433200✔ Licensed in NJ · 25MA03609800✔ Licensed in NJ · 26NR12059400
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.
540 BORDENTOWN AVENUE, South Amboy, NJ 08879
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Other Identifiers 1

Other088771NJ · Medicare Identification Number

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

Other Providers at the Same Location NPPES

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

ACCUMED DIAGNOSTIC LABORATORY INC
Clinical Medical Laboratory
540 BORDENTOWN AVENUE, SECOND FLOOR SUITE 4
SOUTH AMBOY, NJ 08879
Middlesex County (732) 721-3763

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 LLC's NPI number?

The NPI number for Longevity Medical LLC is 1972779486. It was assigned to this organization in the NPPES registry on May 5, 2008.

Where is Longevity Medical LLC located?

Longevity Medical LLC is located at 540 Bordentown Avenue Suite 4200, South Amboy, NJ 08879. The listed phone number is (732) 721-6789.

What is Longevity Medical LLC'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 LLC was last updated on May 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.