Longevity Lab & Aesthetics

Primary specialty

Registered NurseTaxonomy code 163W00000X

Legal business name

LONGEVITY LAB & AESTHETICS

Practice address

301 Elliot St
Newton, MA 02464-1201

Phone

(857) 350-7205

NPI assigned

May 18, 2026

Last updated

May 18, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marni Smith, FNP-CNPI 1972202216

Title

Owner

Phone

(857) 350-7205

Specialties & licenses 1

Addresses

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.

• Marni Smith

  • Registered Nurse
  • Wellesley, MA
  • NPI 1972202216
  NPD Authorized official

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

{
    "created_epoch": "1779062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779062400000",
    "number": "1326977034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 LINDEN ST",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024814914",
            "telephone_number": "857-350-7205",
            "fax_number": "857-350-7205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 ELLIOT ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024641201",
            "telephone_number": "857-350-7205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGEVITY LAB & AESTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-18",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MARNI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "857-350-7205",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Elizabeth Loesch, PSY.D.
• Ernest V. Loewenstein, O.D.
• John P Long Jr., MD
• Mary L Long, M.D.
• Longevity Care, Inc.
• Longwood Dental PLLC (Newton Smile Center)
• Lauren Glener Lookner, M.D.
• Alejandra M. Lopez Barrientos
• Danae Lopez
• Jaime T Lopez, MD

• Registered Nurse in Newton, MA
• Providers in Newton, MA by specialty
• Registered Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; 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.