OrganizationActive
Radiant Longevity Care
NPI 1639043755 · Community/Behavioral Health Agency · Paramus, NJ
Radiant Longevity Care is a Community/Behavioral Health Agency organization in Paramus, NJ (NPI 1639043755).
Provider details
- NPI number
- 1639043755
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Ralphael Kukubor, Manager(201) 989-9777
Specialties & taxonomies
Agencies
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
140 E Ridgewood Ave
Paramus, NJ 07652-3917
Phone: (201) 989-9777
Fax: (155) 136-1972
Street-level locationGet directions
Mailing address
140 E Ridgewood Ave Ste 415
Paramus, NJ 07652-3915
Registry dates
- Enumerated
- 2025-10-01
- Last updated
- 2025-10-15
- Certified
- 2025-10-15
Frequently asked questions
- What is Radiant Longevity Care's NPI number?
- Radiant Longevity Care's National Provider Identifier (NPI) is 1639043755, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Radiant Longevity Care?
- Radiant Longevity Care is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Radiant Longevity Care located?
- Radiant Longevity Care's practice location on file with NPPES is 140 E Ridgewood Ave, Paramus, NJ 07652-3917.
- What is Radiant Longevity Care's phone number?
- The practice phone number listed in the NPPES registry for Radiant Longevity Care is (201) 989-9777.
- Who is the authorized official for Radiant Longevity Care?
- The authorized official listed on Radiant Longevity Care's NPPES record is Ralphael Kukubor, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Radiant Longevity Care's NPI active?
- Yes — Radiant Longevity Care's NPI (1639043755) is active in the NPPES registry as of the last update on 2025-10-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.