Longevity Group LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

233962 Issued in MA

Legal business name

LONGEVITY GROUP LLC

Practice address

76 N Bedford St Unit a-4
East Bridgewater, MA 02333-1182

Phone

(598) 484-3251

NPI assigned

Jan 4, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Anita Bodrogne Szabo, MD

Title

Owner

Phone

(508) 484-3251

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 1

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

• Gyorgy Bodrog, M.D.

  • Psychiatry Physician
  • New Bedford, MA
  • NPI 1144425422
  Medicare reassignment NPD

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

{
    "created_epoch": "1515024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1124535729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 MIRANDA WAY",
            "city": "BRIDGEWATER",
            "state": "MA",
            "postal_code": "023241481",
            "telephone_number": "508-697-6385",
            "fax_number": "978-630-6052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 N BEDFORD ST UNIT A-4",
            "city": "EAST BRIDGEWATER",
            "state": "MA",
            "postal_code": "023331182",
            "telephone_number": "598-484-3251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGEVITY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-04",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "BODROGNE SZABO",
        "authorized_official_first_name": "ANITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-484-3251",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "MA",
            "license": null,
            "primary": false
        },
        {
            "code": "167G00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Licensed Psychiatric Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "MA",
            "license": "233962",
            "primary": false
        },
        {
            "code": "2084P0015X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": "MA",
            "license": "233962",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "233962",
            "primary": true
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "MA",
            "license": "233962",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lawlor, RN
• LB Counseling and Supervision LLC
• Suzanne C Leone, NP
• Alysha Lewicki
• Laura Ann Libby, MSPT
• Loyal Institute,LLC (Loyal Institute)
• Loyal Staffing Agency, and Home Care (Loyal staffing agency,llc)
• Lavonette Marie Luciano, M.A. CCC-SLP
• Donna M Macneil, RN, DIPL ABT, ABT CP
• Mainsail Counseling & Therapy, Inc.

• Psychiatry Physician in East Bridgewater, MA
• Providers in East Bridgewater, MA by specialty
• Psychiatry Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.