Individual provider Active NPI

Mika Long, FNP

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1548036783
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
357798 Issued in NY
Practice address
511 West 157TH Street
New York, NY 10032-5058
Phone
(212) 781-7979
Fax
(212) 781-7963
NPI assigned
Nov 29, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 263483 TN
Registered Nurse 163W00000X 858191 NY
Family Nurse Practitioner 363LF0000X 357798 NY Primary

Addresses

Primary practice location

511 West 157TH Street
New York, NY 10032-5058

Mailing address

44 W 28TH Street
5TH Floor
New York, NY 10001-4212
Phone (212) 545-2409

Other practice location 1

94-98 Manhattan Avenue
Brooklyn, NY 11206-2505
Phone (718) 388-0390

Other practice location 2

1167 Nostrand Ave
Brooklyn, NY 11225-5417
Phone (718) 778-0198

Other practice location 3

999 Blake Ave
Brooklyn, NY 11208-3535
Phone (718) 277-8303

Other practice location 4

81 W 115th St
New York, NY 10026-3138
Phone (212) 426-0088

Other practice location 5

2581 Atlantic Ave
Brooklyn, NY 11207-2412
Phone (718) 495-6700

Other practice location 6

1880 Bathgate Avenue
Bronx, NY 10457-4501
Phone (718) 495-6700

Other practice location 7

89-44 164th Street
Jamaica, NY 11432-6103
Phone (718) 523-2123

Other practice location 8

36-11 21st Street
Long Island City, NY 11106-4505
Phone (718) 482-7772

Other practice location 9

64 W 17th St
New York, NY 10011-5701
Phone (917) 305-1000

Other practice location 10

1002 Westchester Avenue
Bronx, NY 10459-3204
Phone (718) 320-4466

Other practice location 11

255 East Houston
New York, NY 10002-2301
Phone (212) 477-1120

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251124002778 NY Practitioner - Nurse Practitioner 6800388166 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Healthcare Network IncGroup PAC ID 7416855143, 83 clinicians

Practice addresses (Care Compare)

1002 Westchester Ave
Bronx, NY 10459-3204
Phone (718) 320-4466

504 W 157TH St
New York, NY 10032-7669
Phone (917) 521-3130

511 W 157TH St
New York, NY 10032-7601
Phone (212) 781-7979

81 W 115TH St
New York, NY 10026-3138
Phone (212) 426-0088

94 -98 Manhattan Ave
Brooklyn, NY 11206-2501
Phone (718) 388-0390

9704 Sutphin Blvd
Jamaica, NY 11435-4721
Phone (718) 657-7088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
858191NYMDRegistered Nurse
263483TNMDRegistered Nurse
357798NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Healthcare Network Inc CurrentSince Sep 22, 2025 Accepting new patients
Community Healthcare Network, Inc. CurrentSince Sep 22, 2025 Accepting new patients
Community Healthcare Network Inc Past Accepting new patients

Locations

1002 Westchester Ave
Bronx, NY 10459
Phone (718) 320-4466

2581 Atlantic Ave
Brooklyn, NY 11207
Phone (718) 495-6700

1167 Nostrand Ave
Brooklyn, NY 11225
Phone (718) 778-0198

999 Blake Ave
Brooklyn, NY 11208
Phone (718) 277-8303

8944 164th St
Jamaica, NY 11432
Phone (718) 523-2123

3611 21st St
Long Island City, NY 11106
Phone (718) 482-7488

255 E Houston St
New York, NY 10002
Phone (212) 477-1120

81 W 115th St
New York, NY 10026
Phone (212) 426-0088

511 W 157th St
New York, NY 10032
Phone (212) 781-7979

44 W 28th St
Fl 5
New York, NY 10001
Phone (212) 545-2439

Organizations & group practices 3

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": "1701216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1548036783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 W 28TH STREET",
            "address_2": "5TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100014212",
            "telephone_number": "212-545-2409",
            "fax_number": "646-312-0481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 WEST 157TH STREET",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100325058",
            "telephone_number": "212-781-7979",
            "fax_number": "212-781-7963"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "94-98 Manhattan Avenue",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112062505",
            "country_code": "US",
            "telephone_number": "718-388-0390",
            "fax_number": "718-486-5741",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1167 Nostrand Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112255417",
            "country_code": "US",
            "telephone_number": "718-778-0198",
            "fax_number": "718-221-8169",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "999 Blake Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112083535",
            "country_code": "US",
            "telephone_number": "718-277-8303",
            "fax_number": "718-277-4795",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "81 W 115th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100263138",
            "country_code": "US",
            "telephone_number": "212-426-0088",
            "fax_number": "212-426-8367",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2581 Atlantic Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112072412",
            "country_code": "US",
            "telephone_number": "718-495-6700",
            "fax_number": "646-988-2840",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1880 Bathgate Avenue",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104574501",
            "country_code": "US",
            "telephone_number": "718-495-6700",
            "fax_number": "646-988-2840",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "89-44 164th Street",
            "address_purpose": "LOCATION",
            "city": "Jamaica",
            "state": "NY",
            "postal_code": "114326103",
            "country_code": "US",
            "telephone_number": "718-523-2123",
            "fax_number": "718-523-5833",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "36-11 21st Street",
            "address_purpose": "LOCATION",
            "city": "Long Island City",
            "state": "NY",
            "postal_code": "111064505",
            "country_code": "US",
            "telephone_number": "718-482-7772",
            "fax_number": "718-482-9648",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "64 W 17th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100115701",
            "country_code": "US",
            "telephone_number": "917-305-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1002 Westchester Avenue",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104593204",
            "country_code": "US",
            "telephone_number": "718-320-4466",
            "fax_number": "718-991-3829",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "255 East Houston",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100022301",
            "country_code": "US",
            "telephone_number": "212-477-1120",
            "fax_number": "212-477-8957",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONG",
        "first_name": "MIKA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-29",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "263483",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "858191",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "357798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.