Longevity Healthcare Associates

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

LONGEVITY HEALTHCARE ASSOCIATES

Practice address

1575 County Road 517
Hackettstown, NJ 07840-2708

Phone

(646) 209-5519

NPI assigned

Apr 6, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Sanjay Jain, MD

Title

President

Phone

(646) 209-5519

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1649203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689638400000",
    "number": "1487395091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 COUNTY ROAD 517",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078402708",
            "telephone_number": "908-852-0107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 COUNTY ROAD 517",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078402708",
            "telephone_number": "646-209-5519"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Germay Dr",
            "address_2": "Unit 4 #1385",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198041980",
            "country_code": "US",
            "telephone_number": "646-209-5519",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LONGEVITY HEALTHCARE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-06",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A",
        "authorized_official_last_name": "JAIN",
        "authorized_official_first_name": "SANJAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-209-5519",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Hackettstown, NJ
• Providers in Hackettstown, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; 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.