Active NPI
Zachary Long, DO
- Plastic and Reconstructive Surgery Physician
- Honolulu, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- DOS-2075
- Practice address
- 1330 Ala Moana Blvd FL 4
Honolulu, HI 96814-4200 - Phone
- (808) 585-8855
- NPI assigned
- Jul 18, 2014
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 282554 | MA | |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | DR.0072833 | CO | |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | DOS-2075 | HI | Primary |
Addresses
Primary practice location
1330 Ala Moana Blvd FL 4
Honolulu, HI 96814-4200
Mailing address
1330 Ala Moana Blvd FL 4
Honolulu, HI 96814-4200
Phone (808) 585-8855
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0072833 | CO | MD | Plastic and Reconstructive Surgery Physician |
| DOS-2075 | HI | MD | Plastic and Reconstructive Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Berkshire Faculty Services Inc | Current | Accepting new patients | |
| Fairview Hospital | Current | Accepting new patients |
Locations
780 S Main St
Ste 2
Gt Barrington, MA 01230
Phone (413) 447-2498
55 Pittsfield Rd
Ste 12C
Lenox, MA 01240
Phone (413) 344-1750
777 North St
Ste 407
Pittsfield, MA 01201
Phone (413) 445-6420
725 North St
Pittsfield, MA 01201
Phone (413) 447-2839
Interoperability endpoints
- zacharylong@bfs.medalliesdirect.net
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Pittsfield, MA
- NPI 1548212939
-
- Rural Health Clinic/Center
- Great Barrington, MA
- NPI 1881252286
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733875200000",
"number": "1295142453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1330 ALA MOANA BLVD FL 4",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968144200",
"telephone_number": "808-585-8855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1330 ALA MOANA BLVD FL 4",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968144200",
"telephone_number": "808-585-8855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONG",
"first_name": "ZACHARY",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-18",
"last_updated": "2024-12-11",
"certification_date": "2024-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "MA",
"license": "282554",
"primary": false
},
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "CO",
"license": "DR.0072833",
"primary": false
},
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "HI",
"license": "DOS-2075",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.