Charles David Long, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

MD043562L Issued in PA

Practice address

1250 Greenwood Ave
Ste 14
Jenkintown, PA 19046-2902

Phone

(215) 572-6888

Fax

(215) 572-5905

NPI assigned

May 23, 2006

Last updated

May 23, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Plastic and Reconstructive Surgery

Education

Temple University School of Medicine, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jefferson Lansdale Hospital Hospital, Lansdale, PA, CCN 390012
• Jefferson Abington Hospital Hospital, Abington, PA, CCN 390231

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

• Suburban Plastic Surgeons PC

  • Plastic Surgery Physician
  • Jenkintown, PA
  • NPI 1992759997
  Medicare reassignment Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Abington Memorial Hospital

  • General Acute Care Hospital
  • Abington, PA
  • NPI 1811992084
  Care Compare affiliation
• Lansdale Hospital Corporation

  dba Lansdale Hospital

  • General Acute Care Hospital
  • Lansdale, PA
  • NPI 1386896306
  Care Compare affiliation

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306108800000",
    "number": "1033164736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 GREENWOOD AVE",
            "address_2": "STE 14",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190462902",
            "telephone_number": "215-572-6888",
            "fax_number": "215-572-5905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 GREENWOOD AVE",
            "address_2": "STE 14",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190462902",
            "telephone_number": "215-572-6888",
            "fax_number": "215-572-5905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "CHARLES",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2011-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "PA",
            "license": "MD043562L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018274790004",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLAN EAST",
            "identifier": "0016511000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE GRP",
            "identifier": "052949",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "052949",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "043791   -  GROUP",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE",
            "identifier": "867646",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shaochen Liu, DMD
• Living With Ease Home Care LLC
• Lki Group, LLC (Helpsource)
• Llgtransportation
• Kamryn Lombardi
• Emily Beth Loomis, L.AC
• Loving Care Senior Services Inc
• Loving Hand Home Care LLC
• Lovingcare Senior Services, Inc.
• Marcie Greenberg Lowe, PH.D.

• Plastic Surgery Physician in Jenkintown, PA
• Providers in Jenkintown, PA by specialty
• Plastic Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.