Active NPI
Jason Reid Delong, M.D.
- Emergency Medicine Physician
- Virginia Beach, VA
National Provider Identifier
1053587014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 0101253949
- Practice address
- 4092 Foxwood Dr
Ste 101
Virginia Beach, VA 23462-5225 - Phone
- (757) 686-3508
- Fax
- (757) 686-0541
- NPI assigned
- Apr 30, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 233317 | MA | |
| Emergency Medicine Physician | 207P00000X | 0101253949 | VA | Primary |
Addresses
Primary practice location
4092 Foxwood Dr
Ste 101
Virginia Beach, VA 23462-5225
Mailing address
PO Box 7549
Portsmouth, VA 23707-0549
Phone (757) 686-3508
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24824 | MA | MD | Pharmacist |
| 0101253949 | VA | MD | Emergency Medicine Physician |
| 233317 | MA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424390400000",
"number": "1053587014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7549",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237070549",
"telephone_number": "757-686-3508",
"fax_number": "757-686-0541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4092 FOXWOOD DR",
"address_2": "STE 101",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234625225",
"telephone_number": "757-686-3508",
"fax_number": "757-686-0541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELONG",
"first_name": "JASON",
"middle_name": "REID",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-30",
"last_updated": "2015-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "233317",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "VA",
"license": "0101253949",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.