Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Longevity Medical Group, PA

Organization Specialist · NPI 1811229875

Longevity Medical Group, PA provides Specialist services in Paramus, New Jersey. Licensed in New Jersey. Registered with an NPI since 2010.

Licensed in
NJ
In the registry since
2010
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2 Sears Dr
Paramus, NJ 07652-3539 Not confirmed with CMS for 16 years — call before visiting
Phone: (201) 265-4647
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence MA42243 (NJ)

Record details

NPI number1811229875
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Roger Coletti — President · (201) 265-4647
Other names Longevity Medical Group, P.A.
NPI enumeratedFebruary 2, 2010
Last updated in NPPESFebruary 2, 2010
Mailing addressPo Box 8069, Paramus, NJ 07653-8069

Other providers in Paramus