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:
Health care specialties
Specialty | Code | License # | 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 16 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1972779486 | NPPES |
New Jersey | Other | 088771 | MEDICARE IDENTIFICATION NUMBER |
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