Longevite Health and Wellness
NPI 1730651589 · Family Medicine Physician · Midlothian, VA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Longevite Health and Wellness is a Family Medicine Physician organization in Midlothian, VA (NPI 1730651589).
Provider details
- NPI number
- 1730651589
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Bernice Mucius-Penha, Physician(516) 673-8554
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
2 documented practice locations
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
Additional practice locations (1)
- 6055 Harbour Park DrMidlothian, VA 23112-2160Phone: (804) 639-8145Fax: (804) 818-2637
Registry dates
- Enumerated
- 2018-12-18
- Last updated
- 2022-11-13
- Certified
- 2022-11-13
Frequently asked questions
- What is Longevite Health and Wellness's NPI number?
- Longevite Health and Wellness's National Provider Identifier (NPI) is 1730651589, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Longevite Health and Wellness?
- Longevite Health and Wellness is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Longevite Health and Wellness located?
- Longevite Health and Wellness's practice location on file with NPPES is 14024 Wiley Cir, Midlothian, VA 23114-5578.
- What is Longevite Health and Wellness's phone number?
- The practice phone number listed in the NPPES registry for Longevite Health and Wellness is (804) 639-8145.
- Does Longevite Health and Wellness accept Medicare?
- Longevite Health and Wellness 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 Longevite Health and Wellness?
- The authorized official listed on Longevite Health and Wellness's NPPES record is Bernice Mucius-Penha, Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Longevite Health and Wellness's NPI active?
- Yes — Longevite Health and Wellness's NPI (1730651589) is active in the NPPES registry as of the last update on 2022-11-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.