Longevity Long Term Medical Care of New York, PLLC
NPI 1881345650ActiveOrganization· Nurse Practitioner, Primary Care· New York, NY
Nurse Practitioner, Primary Care in New York, New York, registered in NPPES in January 2022. The authorized official on file is Diane Vincur, Clinical Support Talent Specialist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1881345650 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 13, 2022 |
| Last updated in NPPES | Jan 13, 2022 |
| Certified by provider | Jan 13, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Primary Care Primary | 363LP2300X | — | — |
| Family Medicine | 207Q00000X | — | — |
| Family Medicine, Geriatric Medicine | 207QG0300X | — | — |
| Nurse Practitioner, Gerontology | 363LG0600X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NY) |
|---|
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