Organization Active NPI

Long's Medical Rehab, P.C.

  • Medical Specialty Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1558424606
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
228353 Issued in NY
Legal business name
LONG'S MEDICAL REHAB, P.C.
Practice address
761 55TH St FL 1
Brooklyn, NY 11220-3210
Phone
(718) 436-3497
Fax
(718) 436-3499
NPI assigned
Dec 19, 2006
Last updated
Sep 28, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

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

Authorized official

Name
Minhui LongNPI 1477512481
Title
President
Phone
(718) 436-3497

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 228353 NY Primary

Addresses

Primary practice location

761 55TH St FL 1
Brooklyn, NY 11220-3210

Mailing address

761 55TH St FL 1
Brooklyn, NY 11220-3210
Phone (718) 436-3497

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050331001213 NY Part B Supplier - Clinic/Group Practice 1355398496 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632787200000",
    "number": "1558424606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "761 55TH ST FL 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203210",
            "telephone_number": "718-436-3497",
            "fax_number": "718-436-3499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 55TH ST FL 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203210",
            "telephone_number": "718-436-3497",
            "fax_number": "718-436-3499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG'S MEDICAL REHAB, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "MINHUI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-436-3497"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NY",
            "license": "228353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.