Robert J Long, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95004566 Issued in CA

Practice address

12 Brewster LN
East Setauket, NY 11733-2922

Phone

(631) 941-4480

NPI assigned

Nov 18, 2009

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1258502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478563200000",
    "number": "1790013498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "273 LOWER ROCKY POINT RD",
            "city": "SOUND BEACH",
            "state": "NY",
            "postal_code": "117891032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 BREWSTER LN",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117332922",
            "telephone_number": "631-941-4480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "ROBERT",
        "middle_name": "J",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-18",
        "last_updated": "2016-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F335996",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95004566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Long Island Dentistry PLLC
• Long Island Digestive Disease Consultants, PC
• Long Island Pathology Inc
• Long Island Physical Therapy Services, P.C.
• Long Island Pulmonary Care
• Mary Lorello-Gonzalez, M.S. CCC-SLP
• Joan Marie Lorio
• Timothy Lozier, PA-C
• Lev Lubarsky, DO
• Herbert Lucks, D.D.S.

• Family Nurse Practitioner in East Setauket, NY
• Providers in East Setauket, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2016; 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.