Active NPI
The Princeton Longevity Center LLC
- Primary Care Clinic/Center
- Skillman, NJ
National Provider Identifier
1316143456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- THE PRINCETON LONGEVITY CENTER LLC
- Practice address
- 46 Vreeland Dr
Skillman, NJ 08558-2638 - Phone
- (609) 430-0752
- NPI assigned
- Jun 25, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David Fein
- Title
- President
- Phone
- (609) 430-0752
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | NU | Primary |
Addresses
Primary practice location
46 Vreeland Dr
Skillman, NJ 08558-2638
Mailing address
46 Vreeland Dr
Skillman, NJ 08558-2638
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Princeton, NJ
- NPI 1780721704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182729600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1316143456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46 VREELAND DR",
"city": "SKILLMAN",
"state": "NJ",
"postal_code": "085582638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46 VREELAND DR",
"city": "SKILLMAN",
"state": "NJ",
"postal_code": "085582638",
"telephone_number": "609-430-0752"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE PRINCETON LONGEVITY CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-25",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "FEIN",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "609-430-0752",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Skillman, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.