Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

A Progressive Longevity Center, LLC

Organization Internal Medicine Physician · NPI 1568515500

A Progressive Longevity Center, LLC is an Internal Medicine Physician in Jersey City, New Jersey. Licensed in New Jersey. Registered with an NPI since 2007.

Licensed in
NJ
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2555 John F Kennedy Blvd D
Jersey City, NJ 07304-2165
Phone: (201) 761-0717
Fax: (201) 761-0787
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MA06826400 (NJ)

Record details

NPI number1568515500
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Adelia Moustiatse — Owner · (201) 761-0717
NPI enumeratedJanuary 21, 2007
Last updated in NPPESMarch 25, 2009
Mailing address100 Winston Dr, 5 Hs, Cliffside Park, NJ 07010-3240

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