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

Longevity Wellness PA

Organization Family Medicine Physician · NPI 1477146058

Longevity Wellness PA is a Family Medicine Physician in Rochelle Park, New Jersey. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
5
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

251 Rochelle Ave
Rochelle Park, NJ 07662-3914
Phone: (201) 291-1616
Fax: (201) 291-1619
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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
Family Medicine Physician Taxonomy 207Q00000X
Adolescent Medicine (Internal Medicine) Physician Taxonomy 207RA0000X
Pain Medicine (Physical Medicine & Rehabilitation) Physician Taxonomy 2081P2900X
Diagnostic Ultrasound Physician Taxonomy 2085U0001X

Record details

NPI number1477146058
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephen Conte — President · (201) 291-1616
NPI enumeratedFebruary 16, 2021
Last updated in NPPESFebruary 16, 2021
Certification dateFebruary 10, 2021
Mailing address201 W Passaic St Ste 301, Rochelle Park, NJ 07662-3126

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