William Trigg Long, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

1571751 Issued in NY

Practice address

71 Park Avenue
1A
New York, NY 10016

Phone

(212) 689-9587

Fax

(212) 689-8519

NPI assigned

May 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

Georgetown University School of Medicine, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Manhattan Dermatology PLLCGroup PAC ID 5294254702, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/7628/brand/4/csg/1/fhir/r4
• FHIR API: https://fhir4.healow.com/fhir/r4/DHCDAA
• FHIR API: https://fhir4.healow.com/fhir/r4/DHCDAA/Endpoint/DHCDAA

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• George Gregory Kihiczak MD PC, MD

  • Dermatology Physician
  • New York, NY
  • NPI 1629276639
  Medicare reassignment
• Vicki J Levine, M.D.

  • Dermatology Physician
  • New York, NY
  • NPI 1932198983
  Medicare reassignment
• Michelle Levy, M.D.

  • Dermatology Physician
  • New York, NY
  • NPI 1932273869
  Medicare reassignment
• Wendy S Long, M.D.

  • Dermatology Physician
  • New York, NY
  • NPI 1689606113
  Medicare reassignment

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.

• Manhattan Dermatology PLLC

  • Dermatology Physician
  • New York, NY
  • NPI 1548055742
  Medicare reassignment Care Compare group NPD
• Andrea N Persaud MD PC

  • Specialist
  • New York, NY
  • NPI 1649353962

  Dermatology

  NPD (past)

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326758400000",
    "number": "1497708168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 PARK AVENUE",
            "address_2": "1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10016",
            "telephone_number": "212-689-9587",
            "fax_number": "212-689-8519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 PARK AVENUE",
            "address_2": "1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10016",
            "telephone_number": "212-689-9587",
            "fax_number": "212-689-8519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "WILLIAM",
        "middle_name": "TRIGG",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2012-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "1571751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Long, OTR/L
• Shelby Layne Long, PHARMD
• Tamara S Long
• Wendy S Long, M.D.
• William John Long, M.D., F.R.C.S.C.
• Mary Longest
• Longevity Adult Day Care Center LLC
• Longevity Fi LLC
• Longevity Long Term Medical Care of New York, PLLC
• Longevity Pharmacy LLC

• Dermatology Physician in New York, NY
• Providers in New York, NY by specialty
• Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.