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

Longevity Medical Group, PA

Organization Specialist · NPI 1811229875

Longevity Medical Group, PA is a Specialist in Paramus, New Jersey. Licensed in New Jersey. Registered with an NPI since 2010.

Licensed in
NJ
In the registry since
2010
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2 Sears Dr
Paramus, NJ 07652-3539
Phone: (201) 265-4647
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence MA42243 (NJ)

Record details

NPI number1811229875
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Roger Coletti — President · (201) 265-4647
Other names Longevity Medical Group, P.A.
NPI enumeratedFebruary 2, 2010
Last updated in NPPESFebruary 2, 2010
Mailing addressPo Box 8069, Paramus, NJ 07653-8069

Other providers in Paramus