Individual provider Active NPI

Stephanie A Longshaw, PHARMD

  • Pharmacist
  • South Plainfield, NJ
National Provider Identifier
1407449689
Registry record updated Feb 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI04114200 Issued in NJ
Practice address
603 Montrose Ave
South Plainfield, NJ 07080-2601
Phone
(908) 226-7450
NPI assigned
Feb 18, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RJ09196 NJ
Pharmacist 183500000X 28RI04114200 NJ Primary
Pharmacist 183500000X RP00009203 NM

Addresses

Primary practice location

603 Montrose Ave
South Plainfield, NJ 07080-2601

Mailing address

115 E College Blvd # 203
Roswell, NM 88201-5158
Phone (801) 548-2335

Other identifiers 3

IdentifierTypeStateIssuer
28RI04114200OtherNJPHARMACIST LICENSE
RP00009203OtherNMNM PHARMACIST LICENSE
28RJ09196OtherNJNEW JERSEY IMMUNIZATION

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address stephanie.longshaw@rwjbh.org Direct

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)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
28RI04114200NJMDPharmacist
28RJ09196NJMDPharmacist
RP00009203NMMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Livingston Infusion Care PastSince Feb 21, 2021 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1613606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1407449689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E COLLEGE BLVD # 203",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882015158",
            "telephone_number": "801-548-2335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 MONTROSE AVE",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070802601",
            "telephone_number": "908-226-7450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGSHAW",
        "first_name": "STEPHANIE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-18",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RJ09196",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI04114200",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NM",
            "license": "RP00009203",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE",
            "identifier": "28RI04114200",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NM PHARMACIST LICENSE",
            "identifier": "RP00009203",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW JERSEY IMMUNIZATION",
            "identifier": "28RJ09196",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stephanie.longshaw@rwjbh.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Encyrpted email",
            "address_1": "603 Montrose Ave",
            "city": "South Plainfield",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070802601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in South Plainfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; 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.