Long Shen

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

SHENL2 Issued in NY

Practice address

55 Amherst Villa Rd
Buffalo, NY 14225-1400

Phone

(800) 960-1080

NPI assigned

Sep 9, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Beutner Labs Inc

  • Clinical Medical Laboratory
  • Buffalo, NY
  • NPI 1780676304

  Clinical & Laboratory Immunology

  NPD (past)
• KSL Diagnostics Inc

  • Clinical Medical Laboratory
  • Buffalo, NY
  • NPI 1528539459
  NPD (past)

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

{
    "created_epoch": "1725840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1770319741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 AMHERST VILLA RD",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142251400",
            "telephone_number": "800-960-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 AMHERST VILLA RD",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142251400",
            "telephone_number": "800-960-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEN",
        "first_name": "LONG",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-09",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KI0005X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Clinical & Laboratory Immunology",
            "state": "NY",
            "license": "SHENL2",
            "primary": false
        },
        {
            "code": "247ZC0005X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
            "state": "NY",
            "license": "SHENL2",
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NY",
            "license": "SHENL2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Sheldon, DNP, AGACNP-BC
• Karen M Shell, LMSW
• Paul Shelton
• Shawn J Shelton, RPH
• Shen Dao Acupuncture, PLLC
• Lata Shenoy
• Niraj Konchady Shenoy, M.D., PH.D.
• Marisa N Shepherd, CASAC
• Rebecca Barnes Shepherd, RPA-C
• Anthony Sheppard, MS

• Clinical Medical Laboratory in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Clinical Medical Laboratory in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.

Verify at the official NPI Registry.