| Longevity Healthcare Associates | |
|
1575 County Road 517 Hackettstown NJ 07840-2708 | |
| (646) 209-5519 | |
| Not Available |
| Full Name | Longevity Healthcare Associates |
|---|---|
| Speciality | Family Medicine |
| Location | 1575 County Road 517, Hackettstown, New Jersey |
| Authorized Official Name and Position | Sanjay Jain (PRESIDENT) |
| Authorized Official Contact | 6462095519 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Longevity Healthcare Associates 1575 County Road 517 Hackettstown NJ 07840-2708 Ph: (908) 852-0107 | Longevity Healthcare Associates 1575 County Road 517 Hackettstown NJ 07840-2708 Ph: (646) 209-5519 |
| NPI Number | 1487395091 |
|---|---|
| Provider Enumeration Date | 04/06/2022 |
| Last Update Date | 07/18/2023 |
| Medicare PECOS PAC ID | 8123401478 |
|---|---|
| Medicare Enrollment ID | O20220818002245 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487395091 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Sanjay Jain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063455780 PECOS PAC ID: 9133118458 Enrollment ID: I20110308000381 |
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