Active NPI
Kimlyn Long MD, PLLC
Doing business as Hela MD
- Plastic and Reconstructive Surgery Physician
- Jamaica, NY
National Provider Identifier
1730911256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- Legal business name
- KIMLYN LONG MD, PLLC
- Doing business as
- Hela MD
- Practice address
- 17561 Hillside Ave
Suite 202
Jamaica, NY 11432-5771 - Phone
- (929) 279-3399
- NPI assigned
- Aug 14, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kinlyn Long, MD
- Title
- Owner
- Phone
- (929) 279-3999
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health & Wellness Coach | 171400000X | |||
| Integrative Medicine Physician | 202D00000X | |||
| Plastic Surgery Physician | 208200000X | |||
| Plastic and Reconstructive Surgery Physician | 2086S0122X | Primary | ||
| Physician Assistant | 363A00000X |
Addresses
Primary practice location
17561 Hillside Ave
Suite 202
Jamaica, NY 11432-5771
Mailing address
17561 Hillside Ave Ste 202
Jamaica, NY 11432-5771
Phone (929) 279-3399
Other names 1
- HELA MD
National Provider Directory
National Provider DirectoryLocations
17561 Hillside Ave
Ste 202
Jamaica, NY 11432
Phone (718) 291-4800
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.
-
- Plastic Surgery Physician
- Brooklyn, NY
- NPI 1306902648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723593600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1723593600000",
"number": "1730911256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17561 HILLSIDE AVE STE 202",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114325771",
"telephone_number": "929-279-3399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17561 HILLSIDE AVE",
"address_2": "SUITE 202",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114325771",
"telephone_number": "929-279-3399"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIMLYN LONG MD, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-14",
"last_updated": "2024-08-14",
"certification_date": "2024-08-05",
"status": "A",
"authorized_official_last_name": "LONG",
"authorized_official_first_name": "KINLYN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "929-279-3999",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "171400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Health & Wellness Coach",
"state": null,
"license": null,
"primary": false
},
{
"code": "202D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Integrative Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "2086S0122X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "HELA MD",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Jamaica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.