Long Wellness Medical PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

LONG WELLNESS MEDICAL PLLC

Practice address

1 Bond St
Great Neck, NY 11021-2408

Phone

(516) 441-5880

Fax

(516) 441-5882

NPI assigned

Jul 17, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Ann Long, MD

Title

Physician in Charge

Phone

(516) 441-5880

Specialties & licenses 6

Addresses

Locations

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

{
    "created_epoch": "1721174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721606400000",
    "number": "1093553729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BOND ST",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212408",
            "telephone_number": "516-441-5880",
            "fax_number": "516-441-5882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BOND ST",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212408",
            "telephone_number": "516-441-5880",
            "fax_number": "516-441-5882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG WELLNESS MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-17",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "PHYSICIAN IN CHARGE",
        "authorized_official_telephone_number": "516-441-5880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "133VN1006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Long Island Medical Anesthesiology P C
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• Long Island Sound Psychiatry PLLC
• Long Island Vitreo Retinal Consultants
• Long Island Vitreo Retinal Consultants PC
• Frank A Longo, RPH.
• Peter James Longo, MD
• Georgia Loucopoulos, MMSC
• Rachel Louissaint, DPT
• Lisa Lovihayeem

• Internal Medicine Physician in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.