Laureen Longo, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X008618 Issued in NY

Practice address

7127 Fresh Pond Rd
Suite 1L
Ridgewood, NY 11385-5918

Phone

(718) 386-3172

Fax

(718) 386-3172

NPI assigned

Dec 16, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1166227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1376605071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7127 FRESH POND RD",
            "address_2": "SUITE 1L",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113855918",
            "telephone_number": "718-386-3172",
            "fax_number": "718-386-3172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7127 FRESH POND RD",
            "address_2": "SUITE 1L",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113855918",
            "telephone_number": "718-386-3172",
            "fax_number": "718-386-3172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGO",
        "first_name": "LAUREEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-16",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X008618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS",
            "identifier": "X92182",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRISM HEALTH NETWORKS",
            "identifier": "60105",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLAN",
            "identifier": "P1110862",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5239695",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "9631018",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE INS. FUND WORK COMP",
            "identifier": "C08618-3B",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "X008618",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chun Ming Lin, N.D., R.PH
• Jennifer Polly Litman
• Santa Locascio, D.D.S.
• Michelle London, PTA
• Anthony Longo, R.PH.
• Maria Elena Lopez-Carpio, M.S.ED.
• Alana Lopez, LCSW, MA
• Alexa Lopez
• Diana Jacqueline Lopez, BSN, RN
• Rufina Louis, DDS

• Chiropractor in Ridgewood, NY
• Providers in Ridgewood, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.