Active NPI
Dina Marie Long, SLP-CCC
- Speech-Language Pathologist
- Cedar Grove, NJ
National Provider Identifier
1760039176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 41YS00982500
- Practice address
- 315 E Lindsley Rd
Cedar Grove, NJ 07009-1152 - Phone
- (973) 754-4800
- NPI assigned
- Aug 20, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 41YS00982500 | NJ | Primary |
Addresses
Primary practice location
315 E Lindsley Rd
Cedar Grove, NJ 07009-1152
Mailing address
75 Cherry St
Jersey City, NJ 07305-4821
Phone (908) 216-6988
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41YS00982500 | NJ | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566259200000",
"number": "1760039176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 CHERRY ST",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073054821",
"telephone_number": "908-216-6988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 E LINDSLEY RD",
"city": "CEDAR GROVE",
"state": "NJ",
"postal_code": "070091152",
"telephone_number": "973-754-4800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONG",
"first_name": "DINA",
"middle_name": "MARIE",
"credential": "SLP-CCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-20",
"last_updated": "2019-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "NJ",
"license": "41YS00982500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cedar Grove, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.