BROOKLYN LONGEVITY NUTRITION (NPI# 1376188540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376188540 |
| Entity Type | Organization |
| Organization Name | BROOKLYN LONGEVITY NUTRITION |
| Practice Address |
8122 7th Ave Brooklyn NY 11228-2805 |
| Mailing Address |
2054 Bay Ridge Ave Brooklyn NY 11204-4629 |
| Practice Telephone | 6468751655 |
| Mailing Telephone | 6468751655 |
| Enumeration Date | 2019-11-12 |
| Last Update Date | 2019-11-12 |
| Authorized Official Name | ZHEN DENG (OWNER) |
| Authorized Official Telephone | 6468751655 |
| Authorized Official Credential | RD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 763 56th St Bsmt, Brooklyn, NY 112203594 | 6468751655 |
| Street Address |
8122 7TH AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11228-2805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053343731 | Reynaldo Go Tan | Internal Medicine | 8122 7th Ave, Brooklyn, NY 11228-2805 | 2006-07-06 |
| 1174181713 | Zhen Deng | Dietitian, Registered | 8122 7th Ave, Brooklyn, NY 11228-2805 | 2019-05-30 |
| 1043625049 | Angela Marie Medina | Registered Nurse | 8122 7th Ave, Brooklyn, NY 11228-2805 | 2014-06-27 |
| 1881802973 | Cambridge Nephrology Pllc | Internal Medicine | 8122 7th Ave, Brooklyn, NY 11228-2805 | 2007-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891343356 | Jeannine M Tomaselli | Social Worker | Brooklyn Counseling Services, 7316 13th Ave 3rd Floor, Brooklyn, NY 11228 | 2019-08-28 |
| 1316446784 | Dyker Chemist | Pharmacy | 7313 13th Ave, Brooklyn, NY 11228 | 2018-02-12 |
| 1689190837 | Flor D Munoz | Developmental Therapist | 1533 73rd St, Apt 2f, Brooklyn, NY 11228 | 2017-08-19 |
| 1477076479 | Joseph Richard Podraza | Registered Nurse | 1225 69th Street, Brooklyn, NY 11228 | 2017-07-21 |
| 1609398262 | Kids Growth Corp | Early Intervention Provider Agency | 1555 77th Street, Brooklyn, NY 11228 | 2017-07-14 |
| 1962946087 | Amarildo Ziu | Pharmacist | 1532 86th Street, Brooklyn, NY 11228 | 2016-12-08 |
| 1285177030 | Francesca Pucci | Speech-Language Pathologist | 1247 71st St, Brooklyn, NY 11228 | 2016-11-28 |
| 1396104782 | Chris Molluso | Behavioral Analyst | 45 Bay 7th, Brooklyn, NY 11228 | 2016-02-15 |
| 1285003848 | Neighborhood Counseling Center | Community/Behavioral Health | 7706 13th Avenue, Brooklyn, NY 11228 | 2015-09-24 |
| 1780080051 | Allison Kaplon Speech and Language Therapy, P.C. | Clinic/Center | 1275 81st Street, Brooklyn, NY 11228 | 2014-11-13 |
| Find all providers in zip 11228 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649884537 | Bridge To Care Nurse Practitioner In Psychiatry PC | Clinic/Center | 3005 Church Ave, Brooklyn, NY 11226-4209 | 2020-09-08 |
| 1093328890 | Philomene Goueliani Phd | Clinic/Center | 1461 E 103rd St, Brooklyn, NY 11236-4513 | 2020-08-31 |
| 1487279238 | Nss Medical Services, Pllc | Clinic/Center | 322 Linden Blvd., Ground Floor, Brooklyn, NY 11226 | 2020-06-08 |
| 1912541061 | Ajs Brooklyn Medical Practice PC | Clinic/Center | 475 Atlantic Ave Ste 2, Brooklyn, NY 11217-4383 | 2019-11-01 |
| 1871058990 | Freedom Physical Therapy, P.C. | Clinic/Center | 350 91st St Ste 1a, Brooklyn, NY 11209-5853 | 2019-02-02 |
| 1629564950 | Brownsville Chiropractic, PC | Clinic/Center | 409 Rockaway Ave Fl 2, Brooklyn, NY 11212-5635 | 2018-07-10 |
| 1144768458 | New Solution Home Care Inc | Clinic/Center | 722 E 4th St, Brooklyn, NY 11218-5704 | 2017-02-07 |
| 1619412988 | Jpc Medical PC | Clinic/Center | 1552 Ralph Ave, Brooklyn, NY 11236-3129 | 2016-12-22 |
| 1104379593 | Wyckoff Heights Medical Center | Clinic/Center | 545 Christopher Ave, Brooklyn, NY 11212-7029 | 2016-08-02 |
| 1245695030 | Wyckoff Heights Dental Services, PC | Clinic/Center | Wyckoff Pediatric Care Center - 1411 Myrtle Avenue, Wyckoff Heights Dental Services, PC, Brooklyn, NY 11237 | 2015-12-21 |
| Find all providers in BROOKLYN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.