Peter Waran Longa, MSN, APN-C, FNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

26NJ00288300 Issued in NJ

Practice address

121 Shelley Dr Ste 2F
Hackettstown, NJ 07840-2530

Phone

(908) 642-5417

NPI assigned

Aug 28, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

Practice roles

Locations

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.

• Wayne Behavioral Service, LLC

  • Psychiatry Physician
  • Wayne, NJ
  • NPI 1487677795
  Medicare reassignment NPD
• Longa Health Services ,LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Hackettstown, NJ
  • NPI 1710689633

  Family

  NPD

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

{
    "created_epoch": "1282953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1699081547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 SHELLEY DR STE 2F",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078402530",
            "telephone_number": "908-916-7179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 SHELLEY DR STE 2F",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078402530",
            "telephone_number": "908-642-5417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGA",
        "first_name": "PETER",
        "middle_name": "WARAN",
        "name_prefix": "Mr.",
        "credential": "MSN, APN-C, FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-28",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00288300",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00288300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Live Fully Now Rehab and Wellness
• Living Dementia Well at Home Company
• Pak-Kan Albert Lo, M.D.
• James A Long Jr., LCSW
• Longa Health Services ,LLC
• Longevity Healthcare Associates
• Carolina Lopez, APN-C
• Jorel Louissaint Sr.
• Loving Care Agency, Inc.
• Nancy Neidlinger Low, MD

• Psychiatric/Mental Health Nurse Practitioner in Hackettstown, NJ
• Providers in Hackettstown, NJ by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.