NPIMap

Individual provider Active NPI

Helena Longin, MD

  • General Practice Physician
  • Ft Monmouth, NJ
National Provider Identifier
1487628871
Registry record updated Jun 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
01059471A Issued in IN
Practice address
1075 Stephenson Ave
Attn: Credentials Office - Patterson Army Health Clinic
Ft Monmouth, NJ 07703-5000
Phone
(732) 532-0182
NPI assigned
Feb 14, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 19

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Dermatology
Education
Pennsylvania State University College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sutter Bay Medical Foundation (3,783 clinicians)

Practice addresses (Care Compare)

3883 Airway Dr
Suite 203
Santa Rosa, CA 95403-1671
Phone (707) 521-7788

Hospital & facility affiliations

  • California Pacific Medical Ctr-Davies Campus Hosp Hospital · San Francisco, CA · CCN 050008

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1878
Removal or shaving of skin growth1-10
Skin biopsy334

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20120613000641 CA Practitioner - Dermatology 2567626070 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01059471AINMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Bay Medical Foundation Current
since Aug 1, 2017		 Accepting new patients
Sutter Bay Medical Foundation Current
since Aug 1, 2017		 Accepting new patients
Sutter Bay Medical Foundation Current Accepting new patients
Sutter East Bay Medical Foundation Past Accepting new patients

Locations

795 El Camino Real
#1112
Palo Alto, CA 94301

131 Stony Cir
Ste 1600
Santa Rosa, CA 95401
Phone (707) 541-7700

3883 Airway Dr
Ste 203
Santa Rosa, CA 95403
Phone (707) 521-7760

4700 Hoen Ave
Santa Rosa, CA 95405
Phone (707) 526-3360

3883 Airway Dr
Ste 220
Santa Rosa, CA 95403
Phone (707) 521-7750

3883 Airway Dr
Ste 230
Santa Rosa, CA 95403

Interoperability endpoints

  • Direct secure messaging: hlongin119291@hisp.ehr.sutterhealth.org

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 01059471A IN Primary

Addresses

NPPES NPI Registry

Primary practice location

1075 Stephenson Ave
Attn: Credentials Office - Patterson Army Health Clinic
Ft Monmouth, NJ 07703-5000

Mailing address

1075 Stephenson Ave
Attn: Credentials Office - Patterson Army Health Clinic
Ft Monmouth, NJ 07703-5000
Phone (732) 532-0182

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 4, 2012.

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338768000000",
    "number": "1487628871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 STEPHENSON AVE",
            "address_2": "ATTN: CREDENTIALS OFFICE - PATTERSON ARMY HEALTH CLINIC",
            "city": "FT MONMOUTH",
            "state": "NJ",
            "postal_code": "077035000",
            "telephone_number": "732-532-0182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 STEPHENSON AVE",
            "address_2": "ATTN: CREDENTIALS OFFICE - PATTERSON ARMY HEALTH CLINIC",
            "city": "FT MONMOUTH",
            "state": "NJ",
            "postal_code": "077035000",
            "telephone_number": "732-532-0182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGIN",
        "first_name": "HELENA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-14",
        "last_updated": "2012-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IN",
            "license": "01059471A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Monmouth, NJ

Sources for this page

Verify at the official NPI Registry.