LONGEVITY CLINICAL LTC ASSOCIATES OF NEW MEXICO PC NPI 1295561058

NPI Information

  • NPI: 1295561058
  • Provider Name: LONGEVITY CLINICAL LTC ASSOCIATES OF NEW MEXICO, PC
  • Classification: Family Medicine - 207QG0300X
  • Specialization: Geriatric Medicine
  • Entity Type: Organization
  • Address: 103 HOSPITAL LOOP NE
    ALBUQUERQUE, NM
    ZIP 87109
  • Phone: (505) 348-8300

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NPI Details

LONGEVITY CLINICAL LTC ASSOCIATES OF NEW MEXICO, PC is a geriatric medicine family medicine in Albuquerque, NM. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. LONGEVITY CLINICAL LTC ASSOCIATES OF NEW MEXICO, PC NPI is 1295561058. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

103 HOSPITAL LOOP NE
ALBUQUERQUE, NM
ZIP 87109-115
Phone: (505) 348-8300

The provider's authorized official is Diane Vincur .
The authorized official title is Manager and has the following contact phone number (561) 815-2427.

The enumeration date for this NPI number is 9/10/2024 and was last updated on 9/10/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineNo
2207QG0300XFamily MedicineGeriatric MedicineYes
3363LG0600XNurse PractitionerGerontologyNo
4363LP2300XNurse PractitionerPrimary CareNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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