Active NPI
Kimlyn Long, MD
- Plastic Surgery Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 191631
- Practice address
- 983 Fulton St
Brooklyn, NY 11238-2408 - Phone
- (718) 398-6400
- Fax
- (718) 398-6411
- NPI assigned
- Dec 29, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 191631 | NY | Primary |
Addresses
Primary practice location
983 Fulton St
Brooklyn, NY 11238-2408
Mailing address
983 Fulton St
Brooklyn, NY 11238-2408
Phone (718) 398-6400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles (8 of 12)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians of University Hospital PC | Current | Accepting new patients | |
| Physicians of University Hospital, PC | Plastic Surgery | Current | Accepting new patients |
| Urgent Surgical Care, PLLC | Plastic Surgery | Current | Accepting new patients |
| Physicians of University Hospital, PC | Current | Accepting new patients | |
| North Shore-Lij Medical PC | Current | Accepting new patients | |
| Kimlyn Long MD, PLLC | Plastic Surgery | Current | Accepting new patients |
| Asklipios Medical Group, LLP | Past | Accepting new patients | |
| Lenox Hill Hospital | Past | Accepting new patients |
Locations
17561 Hillside Ave
Ste 202
Jamaica, NY 11432
Phone (718) 291-4800
2510 30th Ave
Long Island City, NY 11102
Phone (718) 267-4245
300 Community Dr
Plandome, NY 11030
401 Seaview Ave
Lowr
Staten Island, NY 10305
Phone (718) 226-6186
242 Mason Ave
Staten Island, NY 10305
Phone (718) 226-1458
1 Edgewater St
Fl 6
Staten Island, NY 10305
Phone (718) 226-1047
501 Seaview Ave
Staten Island, NY 10305
Phone (718) 667-4700
972 Brush Hollow Rd
Westbury, NY 11590
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Interoperability endpoints
- klong103397@northwell.direct-ci.com
Organizations & group practices 8
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.
-
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
- Geriatric Medicine (Internal Medicine) Physician
- Staten Island, NY
- NPI 1417901323
Plastic Surgery
-
- Plastic and Reconstructive Surgery Physician
- Jamaica, NY
- NPI 1437981958
Plastic Surgery
-
- Plastic and Reconstructive Surgery Physician
- Jamaica, NY
- NPI 1730911256
Plastic Surgery
-
- Allergy & Immunology Physician
- Staten Island, NY
- NPI 1013368224
-
- Anesthesiology Physician
- Bay Shore, NY
- NPI 1023513116
-
- Specialist
- Astoria, NY
- NPI 1275651911
-
- General Acute Care Hospital
- New York, NY
- NPI 1316147176
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306902648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "983 FULTON ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112382408",
"telephone_number": "718-398-6400",
"fax_number": "718-398-6411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "983 FULTON ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112382408",
"telephone_number": "718-398-6400",
"fax_number": "718-398-6411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONG",
"first_name": "KIMLYN",
"name_prefix": "Ms.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "NY",
"license": "191631",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.