Individual provider Active NPI

Wendy S Long, M.D.

  • Dermatology Physician
  • New York, NY
National Provider Identifier
1689606113
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
238317-1 Issued in NY
Practice address
71 Park Ave
Suite 1a
New York, NY 10016-2507
Phone
(212) 689-9587
Fax
(212) 689-8519
NPI assigned
Jul 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 224302 MA
MOHS-Micrographic Surgery Physician 207ND0101X 238317-1 NY
Procedural Dermatology Physician 207NS0135X 238317-1 NY
Dermatology Physician 207N00000X 238317-1 NY Primary

Addresses

Primary practice location

71 Park Ave
Suite 1a
New York, NY 10016-2507

Mailing address

71 Park Ave
Suite 1a
New York, NY 10016-2507
Phone (212) 689-9587

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080513000027 NY Practitioner - Dermatology 9537191093 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
New York University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Manhattan Dermatology PLLCGroup PAC ID 5294254702, 5 clinicians

Practice addresses (Care Compare)

71 Park Ave
Suite 1a
New York, NY 10016-2507
Phone (212) 689-9587

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision61
Removal of skin lesions412
Removal of skin cancer374
Removal or shaving of skin growth1-10
Skin biopsy307

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
238317-1NYMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Manhattan Dermatology PLLC Dermatology CurrentSince Jun 1, 2025 Accepting new patients

Locations

36 E 36th St
Ste 202A
New York, NY 10016
Phone (212) 683-6073

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7628/brand/4/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/DHCDAA

Organizations & group practices 2

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1689606113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 PARK AVE",
            "address_2": "SUITE 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100162507",
            "telephone_number": "212-689-9587",
            "fax_number": "212-689-8519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 PARK AVE",
            "address_2": "SUITE 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100162507",
            "telephone_number": "212-689-9587",
            "fax_number": "212-689-8519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "WENDY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "224302",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NY",
            "license": "238317-1",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NY",
            "license": "238317-1",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "238317-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.