John Charles Long Jr., MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

ME0068137 Issued in FL

Practice address

155 N Nova Rd
Ormond Beach, FL 32174-5138

Phone

(386) 672-3111

Fax

(386) 672-6532

NPI assigned

Aug 8, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

Georgetown University School of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

92.64 of 100Reported as individual

Quality

85.28

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Long Dermatology PA

  dba Associated Dermatologist PA

  • Dermatology Physician
  • Ormond Beach, FL
  • NPI 1801003496
  Medicare reassignment NPD Authorized official
• Associated Dermatologist PA

  • Dermatology Physician
  • Ormond Beach, FL
  • NPI 1861687071
  NPD (past) Authorized official

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356351043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 N NOVA RD",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321745138",
            "telephone_number": "386-672-3111",
            "fax_number": "386-672-6532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 N NOVA RD",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321745138",
            "telephone_number": "386-672-3111",
            "fax_number": "386-672-6532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "JOHN",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME0068137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Logical Therapy, LLC (Logical Therapy Wellness Center)
• Lombardo Chiropractic Clinic PA
• Linda Sue Lombardo, DC
• Lindsey Ann Londono, APRN
• Long Dermatology PA (Associated Dermatologist PA)
• Nathalie Longobardi
• Joseph Lawrence Lopez, DPT
• Raul Lopez, M.D.
• Chantelle Losey, MA, CCC-SLP
• Louis Latulippe DMD PA

• Dermatology Physician in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Dermatology Physician in Florida

• 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.

Verify at the official NPI Registry.