Active NPI
Jeffrey Clarke Long, M.D.
- Family Medicine Physician
- Naples, NY
National Provider Identifier
1376561910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 157100
- Practice address
- 35 Lyon St
Naples, NY 14512-9707 - Phone
- (585) 374-2900
- Fax
- (585) 394-2950
- NPI assigned
- Jul 18, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 157100 | NY | Primary |
Addresses
Primary practice location
35 Lyon St
Naples, NY 14512-9707
Mailing address
PO Box 249
35 Lyon Street
Naples, NY 14512-0249
Phone (585) 374-2900
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01044480 | Medicaid | NY | |
| 157100 | Other | NY | NYS LICENSE |
| 16-1311940 | Other | NY | TAX ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jeffrey C. Long, MD | Family Medicine | Past | Accepting new patients |
| Lakeside ENT & Allergy LLC. | Past | Accepting new patients | |
| James E. Broderick | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/20310/brand/1/csg/1/fhir/r4
Organizations & group practices 3
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.
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-
- Otolaryngology Physician
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- NPI 1841211836
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1376561910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 249",
"address_2": "35 LYON STREET",
"city": "NAPLES",
"state": "NY",
"postal_code": "145120249",
"telephone_number": "585-374-2900",
"fax_number": "585-394-2950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 LYON ST",
"city": "NAPLES",
"state": "NY",
"postal_code": "145129707",
"telephone_number": "585-374-2900",
"fax_number": "585-394-2950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONG",
"first_name": "JEFFREY",
"middle_name": "CLARKE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "157100",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01044480",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS LICENSE",
"identifier": "157100",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "16-1311940",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Naples, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.