LONGEVITY ACCOUNTABLE CARE, PA – Geriatric Medicine (Family Medicine) Physician, NPI 1801644711

LONGEVITY ACCOUNTABLE CARE, PA is a healthcare provider. based in North palm beach, Florida. specializing in Geriatric Medicine (Family Medicine) Physician. The NPI Number for LONGEVITY ACCOUNTABLE CARE, PA is 1801644711

Main info

Organization
Name
LONGEVITY ACCOUNTABLE CARE, PA
NPI
1801644711
Phone
(561) 815-2427
Address
11780 US HIGHWAY 1 STE N107
Authorized Official
DIANE VINCUR PRACTICE MANAGER
Enumeration Date
7 May 2024
Last Update Date
7 May 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience29
Completeness75
Years active:2State licenses:0Digital endpointsOther names

Provider Addresses for LONGEVITY ACCOUNTABLE CARE, PA

  • 11780 US HIGHWAY 1 STE N107

    NORTH PALM BEACH, FL 334083007

    Phone: (561) 815-2427

    Type: Mailing

  • 600 BUSINESS PARK WAY

    ROYAL PALM BEACH, FL 334111747

    Phone: (561) 795-3583

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-07-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20240709003960OClinic/Group PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33408)

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Reviews

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Frequently asked questions

Can I cross-check LONGEVITY ACCOUNTABLE CARE, PA using NPI 1801644711?
NPI 1801644711 belongs to LONGEVITY ACCOUNTABLE CARE, PA; compare other details if you need extra assurance.
Would LONGEVITY ACCOUNTABLE CARE, PA appear as active to a payer?
You can treat LONGEVITY ACCOUNTABLE CARE, PA as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is LONGEVITY ACCOUNTABLE CARE, PA?
LONGEVITY ACCOUNTABLE CARE, PA is associated with Geriatric Medicine (Family Medicine) Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for LONGEVITY ACCOUNTABLE CARE, PA?
Travel planning: use North Palm Beach, Florida as the reference point for LONGEVITY ACCOUNTABLE CARE, PA, then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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