Organization Active NPI

Longevity Surgical LLC.

  • Prosthetic/Orthotic Supplier
  • Englewood, NJ
National Provider Identifier
1922481423
Registry record updated Jul 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
LONGEVITY SURGICAL LLC.
Practice address
25 S Van Brunt St Ste E
Englewood, NJ 07631-3498
Phone
(201) 569-8033
NPI assigned
Jul 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2015

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

Authorized official

Name
Mrs. Arline Schwechter, OTR/L, CFOMNPI 1124216783
Title
President
Phone
(201) 567-5088

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

25 S Van Brunt St Ste E
Englewood, NJ 07631-3498

Mailing address

25 S Van Brunt St Ste E
Englewood, NJ 07631-3498
Phone (201) 569-8033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151210000650 NJ DME Supplier - Prosthetic PersonnelDME Supplier - Orthotic Personnel 3971804279 Practice locations: Englewood, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Longevity Surgical LLC25-E South Van Brunt St, Englewood, NJ 07631-4004(201) 569-8033 Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Breast Prostheses and/or Accessories|Lymphedema Compression Treatment Items Does not accept assignmentParticipating since Dec 18, 2015

National Provider Directory

National Provider Directory

Locations

25 S Van Brunt St
Ste E
Englewood, NJ 07631
Phone (201) 569-8033

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435708800000",
    "number": "1922481423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 S VAN BRUNT ST STE E",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076313498",
            "telephone_number": "201-569-8033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 S VAN BRUNT ST STE E",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076313498",
            "telephone_number": "201-569-8033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGEVITY SURGICAL LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-01",
        "last_updated": "2015-07-01",
        "status": "A",
        "authorized_official_last_name": "SCHWECHTER",
        "authorized_official_first_name": "ARLINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-567-5088",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L, CFOM"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.