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

Longevity Long Term Medical Care of New York, PLLC

Organization Family Medicine Physician · NPI 1881345650

Longevity Long Term Medical Care of New York, PLLC provides Family Medicine Physician services in New York, New York. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
4
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

485 Madison Ave Ste 202
New York, NY 10022-5878
Phone: (888) 885-7337
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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 number1881345650
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Diane Vincur — Clinical Support Talent Specialist · (561) 815-2427
NPI enumeratedJanuary 13, 2022
Last updated in NPPESJanuary 13, 2022
Certification dateJanuary 13, 2022
Mailing address11770 Us Highway 1 Ste 102e, Palm Beach Gardens, FL 33408-3052

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