Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Longevity Clinical Ltc Associates of New Jersey

Organization Family Medicine Physician · NPI 1376114322

Longevity Clinical Ltc Associates of New Jersey provides Family Medicine Physician services in Lakewood, New Jersey. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
4

Practice location Address checks out

527 River Ave
Lakewood, NJ 08701-4722
Phone: (732) 905-0700
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X
Family Medicine Physician Taxonomy 207Q00000X
Geriatric Medicine (Family Medicine) Physician Taxonomy 207QG0300X
Gerontology Nurse Practitioner Taxonomy 363LG0600X

Record details

NPI number1376114322
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Diane Vincur — Clinical Support Talent Specialist · (561) 815-2427
NPI enumeratedJuly 9, 2021
Last updated in NPPESJuly 9, 2021
Certification dateJuly 9, 2021
Mailing address11770 Us Highway 1 Ste 102e, Palm Beach Gardens, FL 33408-3052

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