Active NPI
Suzanne S Long, M.D.
- Diagnostic Radiology Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD427698
- Practice address
- 111 S. 11TH Street
Suite 3390
Philadelphia, PA 19107-4824 - Phone
- (215) 955-6226
- Fax
- (215) 923-1562
- NPI assigned
- Jun 15, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MT179890 | PA | |
| Diagnostic Radiology Physician | 2085R0202X | MD427698 | PA | Primary |
Addresses
Primary practice location
111 S. 11TH Street
Suite 3390
Philadelphia, PA 19107-4824
Mailing address
111 S. 11TH Street
Suite 3390
Philadelphia, PA 19107-4824
Phone (215) 955-6226
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102473252 | Medicaid | PA | |
| 0231991 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Jefferson Medical College of Thomas Jefferson University, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Jefferson University Radiology Associates LLC
Practice addresses (Care Compare)
1 W Germantown Pike
East Norriton, PA 19401-1513
Phone (610) 277-3202
10160 Bustleton Ave E
Jefferson Outpatient Imaging
Philadelphia, PA 19116-3749
Phone (215) 503-4900
10800 Knights Rd
Philadelphia, PA 19114-4200
Phone (215) 612-4000
1101 Chestnut St
Philadelphia, PA 19107-3619
Phone (800) 533-3669
1101 Market St
FL 19
Philadelphia, PA 19107-2926
111 S 11TH St
Philadelphia, PA 19107-4824
1200 Old York Rd
Abington, PA 19001-3720
150 E Pennsylvania Ave
Mdi Dowingtown
Downingtown, PA 19335-2632
Phone (610) 518-6300
1619 Grant Ave
Philadelphia, PA 19115-3167
Phone (215) 676-3300
2301 S Broad St
Philadelphia, PA 19148-3542
Phone (215) 952-7444
3 Crescent Dr
Suite 1002
Philadelphia, PA 19112-1016
Phone (215) 503-4900
3300 Tillman Dr
Bensalem, PA 19020-2071
Phone (215) 244-7400
400 Enterprise Dr
102 Mdi Limerick
Limerik, PA 19468-1215
Phone (215) 649-0250
443 Laurel Oak Rd
Voorhees, NJ 08043-4419
534 2ND Ave
Suite 102
Collegeville, PA 19426-2654
Phone (610) 831-0500
650 Carnegie Blvd
Suite 240
Malvern, PA 19355-8519
Phone (215) 503-4900
800 W State St
Suite 203
Doylestown, PA 18901-5842
Phone (215) 345-4568
8001 Roosevelt Blvd
Philadelphia, PA 19152-3037
Phone (215) 331-9100
825 Town Ctr Dr
Suite 100
Langhorne, PA 19047-1757
Phone (215) 750-1760
8305 Ridge Ave
Philadelphia, PA 19128-2113
Phone (215) 482-4800
834 Walnut St
Suite 110
Philadelphia, PA 19107-5109
Phone (215) 503-4779
850 Walnut St
Philadelphia, PA 19107-5109
925 Chestnut St
Philadelphia, PA 19107-4204
925 Chestnut St
Suite 3
Philadelphia, PA 19107-4216
Phone (215) 955-8874
999 Route 73 N 101
Jefferson Outpatient Imaging
Marlton, NJ 08053-1227
Phone (856) 424-2929
Hospital & facility affiliations
- Thomas Jefferson University Hospital
- Rothman Orthopaedic Specialty Hospital
- Jefferson Health- Northeast
- Jefferson Abington Hospital
- Jefferson Lansdale Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD427698 | PA | MD | Diagnostic Radiology Physician |
| MT179890 | PA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 800 Imaging Associates LLC | Current | Accepting new patients | |
| Jefferson University Radiology Associates, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Jeanes Radiology Associates LLC | Diagnostic Radiology | Current | Accepting new patients |
| Rittenhouse Imaging Center, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Jefferson University Physicians | Diagnostic Radiology | Current | Accepting new patients |
| Lebanon Diagnostic Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Jefferson University Radiology Associates, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Jefferson University Physicians of New Jersey, P.C. | Current | Accepting new patients | |
| Jefferson University Radiology Associates LLC | Diagnostic Radiology | Current | Accepting new patients |
| Insight Health Corp | Past | Accepting new patients |
Locations
999 Route 73 N
Ste 101
Marlton, NJ 08053
Phone (856) 424-2929
443 Laurel Oak Rd
Ste 130
Voorhees, NJ 08043
Phone (856) 741-0122
1200 York Rd
Abington, PA 19001
Phone (215) 481-2222
462 Gateway Ave
Chambersburg, PA 17201
Phone (717) 263-4999
150 E Pennsylvania Ave
Downingtown, PA 19335
Phone (215) 772-9674
800 W State St
Ste 203
Doylestown, PA 18901
Phone (215) 345-4568
111 S 11th St
Philadelphia, PA 19107
Phone (215) 955-6161
925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760
850 Walnut St
Philadelphia, PA 19107
Phone (215) 503-4900
111 S 11th St
Ste 3390
Philadelphia, PA 19107
Phone (215) 955-2900
Organizations & group practices 10
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.
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Doylestown, PA
- NPI 1861583668
-
- Diagnostic Radiology Physician
- Philadelphia, PA
- NPI 1639110240
-
- General Practice Physician
- Philadelphia, PA
- NPI 1326093675
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Bryn Mawr, PA
- NPI 1962458034
-
- Internal Medicine Physician
- Voorhees, NJ
- NPI 1083039200
-
- Radiology Clinic/Center
- Philadelphia, PA
- NPI 1578512224
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Chambersburg, PA
- NPI 1346246436
-
- Radiology Clinic/Center
- Marlton, NJ
- NPI 1972169902
Diagnostic Radiology
-
- Radiology Clinic/Center
- Philadelphia, PA
- NPI 1063067635
Diagnostic Radiology
-
- Physiological Laboratory
- Wilkes Barre, PA
- NPI 1174647267
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1801963343
-
- General Acute Care Hospital
- Abington, PA
- NPI 1811992084
-
- General Acute Care Hospital
- Lansdale, PA
- NPI 1386896306
-
- General Acute Care Hospital
- Bensalem, PA
- NPI 1336378132
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1215916002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398988800000",
"number": "1669677175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 S. 11TH STREET",
"address_2": "SUITE 3390",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191074824",
"telephone_number": "215-955-6226",
"fax_number": "215-923-1562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 S. 11TH STREET",
"address_2": "SUITE 3390",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191074824",
"telephone_number": "215-955-6226",
"fax_number": "215-923-1562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONG",
"first_name": "SUZANNE",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-15",
"last_updated": "2014-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "PA",
"license": "MT179890",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "PA",
"license": "MD427698",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102473252",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0231991",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2014; 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.