Individual provider Active NPI

Jeffrey Michael Long, PT, DPT

  • Physical Therapist
  • Springfield, NJ
National Provider Identifier
1497224935
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01829800 Issued in NJ
Practice address
871 Mountain Ave Ste 122
Springfield, NJ 07081-3434
Phone
(973) 467-0011
Fax
(973) 467-0111
NPI assigned
Nov 14, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01829800 NJ Primary

Addresses

Primary practice location

871 Mountain Ave Ste 122
Springfield, NJ 07081-3434

Mailing address

49 Overlook Rd
Morristown, NJ 07960-5805
Phone (973) 713-3805

Other practice location 1

11 Eagle Rock Ave
East Hanover, NJ 07936-3167
Phone (973) 887-0115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181221001943 NJ Practitioner - Physical Therapist in Private Practice 8729323555 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physiopros Performance and Rehabilitation LLCGroup PAC ID 2365820503, 6 clinicians

Practice addresses (Care Compare)

3799 Route 46
Suite 110
Parsippany, NJ 07054-1060
Phone (973) 265-8621

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01829800NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Rehabilitation Services Inc Physical Therapist CurrentSince Sep 1, 2020 Accepting new patients
United Sports Care & Physical Therapy Physical Therapist CurrentSince Nov 15, 2018 Accepting new patients
Physiopros Performance and Rehabilitation LLC Physical Therapist CurrentSince Feb 22, 2021 Accepting new patients
Sportscare of America, PC Physical Therapist CurrentSince Nov 15, 2018 Accepting new patients
Physiopros Physical Therapy & Wellness CurrentSince Apr 26, 2020 Accepting new patients
Garden State Sports Medicine LLC CurrentSince Dec 22, 2024 Accepting new patients
Springfield Physical Therapy & Wellness Physical Therapist CurrentSince Feb 8, 2026 Accepting new patients
Maximum Health Physical Therapy LLC Physical Therapist CurrentSince Jan 31, 2022 Accepting new patients
Maximum Health Physical Therapy of Long Valley, PC Physical Therapist CurrentSince Jan 31, 2022 Accepting new patients
Ironbound Physical Therapy & Wellness Physical Therapist CurrentSince Dec 21, 2021 Accepting new patients
Mobile Therapy Services, Inc. Physical Therapist CurrentSince Feb 20, 2020 Accepting new patients

Locations

47 S Washington Ave
Bergenfield, NJ 07621
Phone (201) 384-2525

1161 Burnt Tavern Rd
Brick, NJ 08724
Phone (732) 458-1255

872 E Main St
Bridgewater, NJ 08807
Phone (908) 725-2995

197 US Highway 46
Budd Lake, NJ 07828
Phone (973) 347-0500

197 Ridgedale Ave
Cedar Knolls, NJ 07927
Phone (973) 292-0700

7 Carnegie Plz
Cherry Hill, NJ 08003

11 Eagle Rock Ave
Ste 201
East Hanover, NJ 07936
Phone (973) 887-0115

62 E Mill Rd
Ste A2
Long Valley, NJ 07853
Phone (908) 520-2377

140 N Route 17
Ste 272
Paramus, NJ 07652
Phone (201) 261-4343

3799 US Highway 46
Ste 110
Parsippany, NJ 07054
Phone (724) 381-1313

407 W Delilah Rd
Pleasantville, NJ 08232
Phone (609) 289-2331

871 Mountain Ave
Ste 122
Springfield, NJ 07081
Phone (973) 467-0011

63 Lacey Rd
Ste H
Whiting, NJ 08759
Phone (732) 716-0111

8 John Walsh Blvd
Ste 406A
Peekskill, NY 10566
Phone (732) 440-7858

Organizations & group practices 11

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": "1542153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1497224935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 OVERLOOK RD",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079605805",
            "telephone_number": "973-713-3805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "871 MOUNTAIN AVE STE 122",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070813434",
            "telephone_number": "973-467-0011",
            "fax_number": "973-467-0111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 Eagle Rock Ave",
            "address_purpose": "LOCATION",
            "city": "East Hanover",
            "state": "NJ",
            "postal_code": "079363167",
            "country_code": "US",
            "telephone_number": "973-887-0115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONG",
        "first_name": "JEFFREY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-14",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01829800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.