Individual provider Active NPI

Tiffany Michelle Luongo, FNP, RN

  • Family Nurse Practitioner
  • Cambridge, MA
National Provider Identifier
1013470194
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2289065 Issued in MA
Practice address
36 White St
Cambridge, MA 02140-1449
Phone
(617) 876-5519
NPI assigned
Apr 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4053510 KY
General Practice Registered Nurse 163WG0000X 116074-21 NH
Registered Nurse 163W00000X RN500339213 DC
Family Nurse Practitioner 363LF0000X 0040823 OH
Registered Nurse 163W00000X RN2289065 MA
Family Nurse Practitioner 363LF0000X RN2289065 MA Primary
Nurse Practitioner 363L00000X LG-0013587 DE
Family Nurse Practitioner 363LF0000X 116074-21 NH
Nurse Practitioner 363L00000X 11043606 FL
Family Nurse Practitioner 363LF0000X NP500339213 DC
Family Nurse Practitioner 363LF0000X CNP251816 ME

Addresses

Primary practice location

36 White St
Cambridge, MA 02140-1449

Mailing address

36 White Street
Cambridge, MA 02140-1449
Phone (617) 876-5519

Other practice location 1

4961 Roberts Rd
Hilliard, OH 43026-8129
Phone (866) 389-2727

Other names 1

  • Ms. Tiffany Michelle Paolillo Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, OH, DC3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20210209000058 MA Practitioner - Nurse Practitioner 8921413741 Reassigns benefits to 2 organizations
I20260416000963 OH Practitioner - Nurse Practitioner 8921413741 Reassigns benefits to 1 organization
I20260427000787 DC Practitioner - Nurse Practitioner 8921413741 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Minuteclinic Diagnostic of Ohio LLCGroup PAC ID 2961425608, 192 clinicians
Minuteclinic Diagnostic of Massachusetts, LLCGroup PAC ID 2264594944, 106 clinicians

Practice addresses (Care Compare)

4961 Roberts Rd
Hilliard, OH 43026-8129
Phone (866) 389-2727

85 High St
Medford, MA 02155-3825
Phone (866) 389-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN500339213DCMDRegistered Nurse
RN2289065MAMDRegistered Nurse
116074-21NHMDGeneral Practice Registered Nurse
LG-0013587DEMDNurse Practitioner
11043606FLMDNurse Practitioner
4053510KYMDNurse Practitioner
NP500339213DCMDFamily Nurse Practitioner
CNP251816MEMDFamily Nurse Practitioner
0040823OHMDFamily Nurse Practitioner

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1554595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1013470194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 WHITE STREET",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021401449",
            "telephone_number": "617-876-5519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 WHITE ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021401449",
            "telephone_number": "617-876-5519"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4961 Roberts Rd",
            "address_purpose": "LOCATION",
            "city": "Hilliard",
            "state": "OH",
            "postal_code": "430268129",
            "country_code": "US",
            "telephone_number": "866-389-2727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUONGO",
        "first_name": "TIFFANY",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "FNP, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-07",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "4053510",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "NH",
            "license": "116074-21",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DC",
            "license": "RN500339213",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0040823",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2289065",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2289065",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DE",
            "license": "LG-0013587",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "116074-21",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11043606",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "NP500339213",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP251816",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "PAOLILLO",
            "middle_name": "MICHELLE",
            "prefix": "MS.",
            "credential": "FNP, RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cambridge, MA

Sources for this page

Verify at the official NPI Registry.