LONGEVITY CLINICAL LTC ASSOCIATES OF NEW MEXICO, PC – NPI #1295561058
Family Medicine

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

LONGEVITY CLINICAL LTC ASSOCIATES OF NEW MEXICO, PC is a provider located in ALBUQUERQUE, NM. NPPES has assigned the NPI number 1295561058 to LONGEVITY CLINICAL LTC ASSOCIATES OF NEW MEXICO, PC on September 10, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207QG0300X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Geriatric Medicine

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LONGEVITY CLINICAL LTC ASSOCIATES OF NEW MEXICO, PC below.

NPI Profile for
LONGEVITY CLINICAL LTC ASSOCIATES OF NEW MEXICO, PC

NPI Number
1295561058
Enumeration Date

(about 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LONGEVITY CLINICAL LTC ASSOCIATES OF NEW MEXICO, PC
Primary location
103 HOSPITAL LOOP NE
ALBUQUERQUE, NM 87109-2115
Phone: (505) 348-8300 Fax:
Mailing address
11780 US HIGHWAY 1 STE N107
NORTH PALM BEACH, FL 33408-3007
Phone: (561) 815-2427 Fax:
Organization Subpart
No
Authorized Official
DIANE VINCUR
MANAGER
Phone: (561) 815-2427
Updated
Certification Date
Sep 10, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.