Custom Longevity P.A.
NPI 1306312731 · Internal Medicine Physician · Naples, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Custom Longevity P.A. is a Internal Medicine Physician organization in Naples, FL (NPI 1306312731).
Provider details
- NPI number
- 1306312731
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Svetlana Kogan, Owner(917) 292-8074
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-10-24
- Last updated
- 2018-10-24
Frequently asked questions
- What is Custom Longevity P.A.'s NPI number?
- Custom Longevity P.A.'s National Provider Identifier (NPI) is 1306312731, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Custom Longevity P.A.?
- Custom Longevity P.A. is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Custom Longevity P.A. located?
- Custom Longevity P.A.'s practice location on file with NPPES is 4005 Gulf Shore Blvd N Apt 402, Naples, FL 34103-3433.
- What is Custom Longevity P.A.'s phone number?
- The practice phone number listed in the NPPES registry for Custom Longevity P.A. is (917) 292-8074.
- Does Custom Longevity P.A. accept Medicare?
- Custom Longevity P.A. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Custom Longevity P.A.?
- The authorized official listed on Custom Longevity P.A.'s NPPES record is Svetlana Kogan, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Custom Longevity P.A.'s NPI active?
- Yes — Custom Longevity P.A.'s NPI (1306312731) is active in the NPPES registry as of the last update on 2018-10-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.