Longevity Medical Llc

LBN: Longevity Medical Llc
Longevity Medical Llc is an health care organization with primary practice located at 540 Bordentown Avenue Suite 4200, South Amboy NJ 08879-0157. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Longevity Medical Llc can be contacted via phone (732) 721-6789, or through Korb, Lewis via phone (732) 721-6789.

Contact Information

Primary practice address
540 Bordentown Avenue Suite 4200 South Amboy NJ 08879-0157
Phone: (732) 721-6789
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Korb, Lewis Doctor of Chiropractic (DC)
Phone: (732) 721-6789

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 38MC00433200 New Jersey
Other Service Providers / Specialist 174400000X 25MA03609800 New Jersey
Other Service Providers / Specialist 174400000X 26NR12059400 New Jersey

Profile Details

NPI number 1972779486
LBN Legal business name Longevity Medical Llc
DBA Doing business as
Authorized official Korb, Lewis Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date May 5th, 2008
Last updated May 5th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972779486 NPPES
New Jersey Other 088771 MEDICARE IDENTIFICATION NUMBER

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