Organization Active NPI

Longevous Medical Health Care PC

  • Physical Medicine & Rehabilitation Physician
  • Brooklyn, NY
National Provider Identifier
1174762082
Registry record updated May 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
LONGEVOUS MEDICAL HEALTH CARE PC
Practice address
825 57TH St
Suite 208 2ND Rear
Brooklyn, NY 11220-3648
Phone
(646) 750-2090
NPI assigned
Feb 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2015

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

Authorized official

Name
Dr. Guorong Dai
Title
Owner
Phone
(646) 750-2090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

825 57TH St
Suite 208 2ND Rear
Brooklyn, NY 11220-3648

Mailing address

4028 College Point Blvd
Ph110
Flushing, NY 11354-5105
Phone (646) 750-2090

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1234828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432857600000",
    "number": "1174762082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4028 COLLEGE POINT BLVD",
            "address_2": "PH110",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545105",
            "telephone_number": "646-750-2090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 57TH ST",
            "address_2": "SUITE 208 2ND REAR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203648",
            "telephone_number": "646-750-2090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGEVOUS MEDICAL HEALTH CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-17",
        "last_updated": "2015-05-29",
        "status": "A",
        "authorized_official_last_name": "DAI",
        "authorized_official_first_name": "GUORONG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-750-2090",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2015; 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.