Longevity Wellness PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

LONGEVITY WELLNESS PA

Practice address

251 Rochelle Ave
Rochelle Park, NJ 07662-3914

Phone

(201) 291-1616

Fax

(201) 291-1619

NPI assigned

Feb 16, 2021

Last updated

Feb 16, 2021By 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

Dr. Stephen J Conte, DONPI 1750329900

Title

President

Phone

(201) 291-1616

Specialties & licenses 5

Addresses

Locations

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.

• Stephen J Conte, DO

  • Specialist
  • Rochelle Park, NJ
  • NPI 1750329900
  Authorized official Same address or phone

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

{
    "created_epoch": "1613433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613433600000",
    "number": "1477146058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W PASSAIC ST STE 301",
            "city": "ROCHELLE PARK",
            "state": "NJ",
            "postal_code": "076623126",
            "telephone_number": "201-291-1616",
            "fax_number": "201-291-1619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 ROCHELLE AVE",
            "city": "ROCHELLE PARK",
            "state": "NJ",
            "postal_code": "076623914",
            "telephone_number": "201-291-1616",
            "fax_number": "201-291-1619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGEVITY WELLNESS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-16",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-10",
        "status": "A",
        "authorized_official_last_name": "CONTE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-291-1616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RA0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dulce Irainah Paragas Lina
• Carletta J Lindie-Fowlkes, PA-C
• Marissa Liza, L.AC
• Vicki S. Lococo, LCSW
• Loihle Medical LLC
• Rachel Lopez, LAC
• Stefano Lopez, LSW
• Lowry Therapy Group
• Domenica Mishell Loyola-Maldonado
• Elvira Markovich, OTR/L

• Internal Medicine Physician in Rochelle Park, NJ
• Providers in Rochelle Park, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; 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.