Individual provider Active NPI

Rosemary E Long, PA-C

  • Physician Assistant
  • Baltimore, MD
National Provider Identifier
1285943100
Registry record updated Dec 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C04333 Issued in MD
Practice address
4940 Eastern Avenue
Johns Hopkins Bayview
Baltimore, MD 21122
Phone
(410) 550-7852
NPI assigned
Sep 27, 2010
Last updated
Dec 16, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C04333 MD Primary

Addresses

Primary practice location

4940 Eastern Avenue
Johns Hopkins Bayview
Baltimore, MD 21122

Mailing address

4940 Eastern Avenue
Johns Hopkins Bayview
Baltimore, MD 21122
Phone (410) 550-7852

Other names 1

  • Ms. Rosemary E Leger Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20110126000034 MD Practitioner - Physician Assistant 9537348313 Reassigns benefits to 5 organizations
I20200330000021 DC Practitioner - Physician Assistant 9537348313 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Call Medical Center LLCGroup PAC ID 5496091290, 28 clinicians
Centennial Medical Group, PAGroup PAC ID 2668466038, 34 clinicians
MNR Industries, LLCGroup PAC ID 7416908843, 142 clinicians

Practice addresses (Care Compare)

10120 Baltimore National Pike
Ellicott City, MD 21042-3614
Phone (410) 694-7999

10981 Johns Hopkins Rd
Laurel, MD 20723-6002
Phone 4107303399100

1311 Londontown Blvd
Suite 130
Eldersburg, MD 21784-6556
Phone (410) 549-7222

1505 E Churchville Rd
Bel Air, MD 21014-4742

153 Ritchie Hwy
Severna Park, MD 21146-1116
Phone (410) 554-0571

2570 -72 Quarry Lake Dr
Expresscare of Quarry Lake
Baltimore, MD 21209-3759
Phone (443) 842-6238

504 E Ridgeville Blvd
A
Mount Airy, MD 21771-5942
Phone (301) 703-5452

6000 Laurel Bowie Rd
Bowie, MD 20715-4000
Phone (301) 383-0330

6339 Ten Oaks Rd
Suite 100
Clarksville, MD 21029-1141
Phone (301) 304-3111

7566 Ridge Rd
Hanover, MD 21076-1373
Phone (410) 904-5910

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
MNR Industries LLC Current Accepting new patients
MNR Industries, LLC CurrentSince Aug 1, 2024 Accepting new patients
Centennial Medical Group, PA Current Accepting new patients
Centennial Medical Group, PA CurrentSince Jan 29, 2024 Accepting new patients
MNR Industries, LLC CurrentSince Aug 1, 2024 Accepting new patients
Johns Hopkins Community Physicians CurrentSince Apr 1, 2020 Accepting new patients
First Call Medical Center LLC CurrentSince Jul 17, 2020 Accepting new patients

Locations

1505 E Churchville Rd
Bel Air, MD 21014
Phone (410) 420-6970

1505 E Churchville Rd
#A
Bel Air, MD 21014
Phone (410) 420-6970

6000 Laurel Bowie Rd
Bowie, MD 20715
Phone (301) 383-0330

6230 Old Dobbin Ln
Ste 230
Columbia, MD 21045
Phone (443) 312-2111

10981 Johns Hopkins Rd
Laurel, MD 20723
Phone (410) 694-7999

504 E Ridgeville Blvd
#A
Mount Airy, MD 21771
Phone (301) 703-5452

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1285545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387152000000",
    "number": "1285943100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4940 EASTERN AVENUE",
            "address_2": "JOHNS HOPKINS BAYVIEW",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21122",
            "telephone_number": "410-550-7852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4940 EASTERN AVENUE",
            "address_2": "JOHNS HOPKINS BAYVIEW",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21122",
            "telephone_number": "410-550-7852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "ROSEMARY",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-27",
        "last_updated": "2013-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C04333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSEMARY",
            "last_name": "LEGER",
            "middle_name": "E",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.