Individual provider Active NPI

Angela Longo, PA

  • Physician Assistant
  • Center Valley, PA
National Provider Identifier
1518018522
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA051100 Issued in PA
Practice address
5425 Lanark Rd Ste 200
Center Valley, PA 18034-8697
Phone
(484) 658-5437
NPI assigned
Jan 16, 2007
Last updated
Oct 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA051100 PA Primary

Addresses

Primary practice location

5425 Lanark Rd Ste 200
Center Valley, PA 18034-8697

Mailing address

5425 Lanark Rd Ste 200
Center Valley, PA 18034-8697
Phone (484) 658-5437

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060323000137 PA Practitioner - Physician Assistant 7113935859 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Physician Group Inc CurrentSince Aug 17, 2021 Accepting new patients
St. Luke's Physician Group, Inc. CurrentSince Aug 17, 2021 Accepting new patients
Western Wayne Urgent Care PC Past Accepting new patients
Ferndale Urgent Care Past Accepting new patients
Humc Cardiovascular Partners, PC Past Accepting new patients
Seton Health Corporation of Southeastern Michigan Past Accepting new patients
Waterford Urgent Care PC Past Accepting new patients
St. Luke's Physician Group Inc. Past Accepting new patients

Locations

5425 Lanark Rd
Ste 200
Center Valley, PA 18034
Phone (484) 523-7300

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1518018522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5425 LANARK RD STE 200",
            "city": "CENTER VALLEY",
            "state": "PA",
            "postal_code": "180348697",
            "telephone_number": "484-658-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5425 LANARK RD STE 200",
            "city": "CENTER VALLEY",
            "state": "PA",
            "postal_code": "180348697",
            "telephone_number": "484-658-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGO",
        "first_name": "ANGELA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA051100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Center Valley, PA

Sources for this page

Verify at the official NPI Registry.