Longevity Long Term Medical Care of New York, PLLC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

LONGEVITY LONG TERM MEDICAL CARE OF NEW YORK, PLLC

Practice address

485 Madison Ave Ste 202
New York, NY 10022-5878

Phone

(888) 885-7337

NPI assigned

Jan 13, 2022

Organization subpart

No

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

Authorized official

Name

Diane Vincur

Title

Clinical Support Talent Specialist

Phone

(561) 815-2427

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brandii A Baker, NP

  • Family Nurse Practitioner
  • Cambridge, NY
  • NPI 1861800351
  Medicare reassignment NPD
• Ashleigh Berger, FNP

  • Family Nurse Practitioner
  • Albany, NY
  • NPI 1003297599

  Single Specialty

  Medicare reassignment NPD
• Zlatko Zukich, FNP

  • Family Nurse Practitioner
  • Cortland, NY
  • NPI 1548935513
  Medicare reassignment NPD
• Ella Ashurova, AGNP

  • Adult Health Nurse Practitioner
  • Syosset, NY
  • NPI 1649734245
  Medicare reassignment
• Kimberly Jane Sturzenbecker, F.N.P.

  • Family Nurse Practitioner
  • Westfield, NY
  • NPI 1356765200
  Medicare reassignment
• Elena Lorranine Vezza, M.D.

  • Cardiovascular Disease Physician
  • Bronxville, NY
  • NPI 1033161021
  NPD

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

{
    "created_epoch": "1642032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642032000000",
    "number": "1881345650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11770 US HIGHWAY 1 STE 102E",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334083052",
            "telephone_number": "561-815-2427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 MADISON AVE STE 202",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100225878",
            "telephone_number": "888-885-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGEVITY LONG TERM MEDICAL CARE OF NEW YORK, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-13",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A",
        "authorized_official_last_name": "VINCUR",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "CLINICAL SUPPORT TALENT SPECIALIST",
        "authorized_official_telephone_number": "561-815-2427"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William John Long, M.D., F.R.C.S.C.
• William Trigg Long, MD
• Mary Longest
• Longevity Adult Day Care Center LLC
• Longevity Fi LLC
• Longevity Pharmacy LLC
• Daniella Longhi
• Colleen M Longley, MD
• Regina Marie Longley
• Randy Scott Longman, MD / PHD

• Primary Care Nurse Practitioner in New York, NY
• Providers in New York, NY by specialty
• Primary Care Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.