Longlife Health Center LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

LONGLIFE HEALTH CENTER LLC

Practice address

850 N. Main St. Ext.
BLDG 2, Ste 3C
Wallingford, CT 06492-2400

Phone

(203) 284-8661

Fax

(203) 284-1050

NPI assigned

Nov 26, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Patricia Buckley, L.AC.NPI 1568660314

Title

Member

Phone

(203) 284-8661

Specialties & licenses 1

Addresses

Other names 1

• Longlife Health Center LLC Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patricia Kersulis Buckley, L.AC.

  • Acupuncturist
  • Wallingford, CT
  • NPI 1568660314
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1732579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732579200000",
    "number": "1104642941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 N. MAIN ST. EXT.",
            "address_2": "BLDG 2, STE 3C",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064922400",
            "telephone_number": "203-284-8661",
            "fax_number": "203-284-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 N. MAIN ST. EXT.",
            "address_2": "BLDG 2, STE 3C",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064922400",
            "telephone_number": "203-284-8661",
            "fax_number": "203-284-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGLIFE HEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-26",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A",
        "authorized_official_last_name": "BUCKLEY",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "203-284-8661",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Longlife Health Center LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lincare Inc.
• Victoria Marie Lingswiler, PH.D.
• Shanice Little
• Samantha Lizotte, LCSW
• Carrie Lombardo, RPT
• Susan Lorenzo, LPC, LADC
• Alyssa Ann Lotto
• Margaret Lough
• Nicole Anne Lucibello
• Trisha O Ludwig, CNM

• Acupuncturist in Wallingford, CT
• Providers in Wallingford, CT by specialty
• Acupuncturist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.