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

Longevity Medical LLC

Organization Specialist · NPI 1972779486

Longevity Medical LLC is a Specialist in South Amboy, New Jersey. Licensed in New Jersey. Registered with an NPI since 2008.

Licensed in
NJ
In the registry since
2008
Specialties on file
3
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

540 Bordentown Ave Ste 4200
South Amboy, NJ 08879-0157
Phone: (732) 721-6789
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 38MC00433200 (NJ)
Specialist Taxonomy 174400000X · Licence 25MA03609800 (NJ)
Specialist Taxonomy 174400000X · Licence 26NR12059400 (NJ)

Record details

NPI number1972779486
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lewis Korb — President · (732) 721-6789
NPI enumeratedMay 5, 2008
Last updated in NPPESMay 5, 2008
Mailing address540 Bordentown Avenue, Suite 4200, South Amboy, NJ 08879-0157

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