Active NPI
Dan L. Longo, M.D.
- Medical Oncology Physician
- Brookline, MA
National Provider Identifier
1790842664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- D0020564
- Practice address
- 111 Cypress St
Brookline, MA 02445-6002 - Phone
- (857) 307-0896
- NPI assigned
- Jan 2, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Medical Oncology Physician | 207RX0202X | D0020564 | MD | Primary |
Addresses
Primary practice location
111 Cypress St
Brookline, MA 02445-6002
Mailing address
111 Cypress St
Brookline, MA 02445-6002
Phone (857) 307-0896
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0020564 | MD | MD | Medical Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339632000000",
"number": "1790842664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 CYPRESS ST",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024456002",
"telephone_number": "857-307-0896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 CYPRESS ST",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024456002",
"telephone_number": "857-307-0896"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONGO",
"first_name": "DAN",
"middle_name": "L.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-02",
"last_updated": "2012-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "MD",
"license": "D0020564",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brookline, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.