Organization Active NPI

Melissa J Long

Doing business as Longevity Pelvic Health and Wellness

  • Physical Therapist
  • Wildwood Crest, NJ
National Provider Identifier
1679290217
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MELISSA J LONG
Doing business as
Longevity Pelvic Health and Wellness
Melissa Long PT, DPT
Practice address
128 W Heather Rd
Wildwood Crest, NJ 08260-1326
Phone
(609) 923-6875
NPI assigned
Oct 25, 2022
Last updated
Oct 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Authorized official

Name
Melissa Joan Long, PT, DPT
Title
Physical Therapist
Phone
(609) 923-6875

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

128 W Heather Rd
Wildwood Crest, NJ 08260-1326

Mailing address

128 W Heather Rd
Wildwood Crest, NJ 08260-1326
Phone (609) 923-6875

Other names 2

  • Longevity Pelvic Health and Wellness Doing business as
  • Melissa Long PT, DPT Doing business as

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": "1666656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666656000000",
    "number": "1679290217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 W HEATHER RD",
            "city": "WILDWOOD CREST",
            "state": "NJ",
            "postal_code": "082601326",
            "telephone_number": "609-923-6875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 W HEATHER RD",
            "city": "WILDWOOD CREST",
            "state": "NJ",
            "postal_code": "082601326",
            "telephone_number": "609-923-6875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA J LONG",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-25",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "JOAN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "609-923-6875",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Longevity Pelvic Health and Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Melissa Long PT, DPT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wildwood Crest, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.