Megan Long, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

309743 Issued in NY

Practice address

200 Pantigo PL Ste I
East Hampton, NY 11937-5922

Phone

(631) 329-8430

Fax

(631) 329-8291

NPI assigned

Jul 28, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1595894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679097600000",
    "number": "1326657008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 LAZUR RD",
            "city": "BALLSTON LAKE",
            "state": "NY",
            "postal_code": "120191833",
            "telephone_number": "631-987-5254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PANTIGO PL STE I",
            "city": "EAST HAMPTON",
            "state": "NY",
            "postal_code": "119375922",
            "telephone_number": "631-329-8430",
            "fax_number": "631-329-8291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "MEGAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-28",
        "last_updated": "2023-03-18",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "309743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Christopher Lado, M.D.
• Sharyn Lawall
• Colin Lee
• Susan Lemonier, M.S., CCC-SLP,A
• Marylen Leon
• Louis S Profera DDS PLLC
• Biju Philip Lukose, D.O.
• Benjamin W Lupia
• Luxottica Retail North America Inc
• Robert Frank Lynch Jr., CASAC

• Adult Health Nurse Practitioner in East Hampton, NY
• Providers in East Hampton, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2023; 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.