Denise Mercedes Long, CSN, ND

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

25MZ00173700 Issued in NJ

Practice address

355 Bloomfield Ave
Caldwell, NJ 07006-5118

Phone

(973) 228-0072

Fax

(973) 228-2311

NPI assigned

Mar 16, 2019

Last updated

Oct 16, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Coral Dragon Acupuncture

  • Acupuncturist
  • Nutley, NJ
  • NPI 1679383343
  NPD (past) Authorized official
• Greco Physical Therapy and Wellness Inc

  • Physical Therapist
  • Caldwell, NJ
  • NPI 1457249054

  Acupuncturist

  NPD
• Lightport Physical Therapy

  • Physical Therapy Clinic/Center
  • Caldwell, NJ
  • NPI 1730541335
  NPD

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

{
    "created_epoch": "1552694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1811456122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 ASHWOOD TER",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070525901",
            "telephone_number": "862-202-6859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 BLOOMFIELD AVE",
            "city": "CALDWELL",
            "state": "NJ",
            "postal_code": "070065118",
            "telephone_number": "973-228-0072",
            "fax_number": "973-228-2311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 Ashwood Ter",
            "address_purpose": "LOCATION",
            "city": "West Orange",
            "state": "NJ",
            "postal_code": "070525901",
            "country_code": "US",
            "telephone_number": "862-202-6859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONG",
        "first_name": "DENISE",
        "middle_name": "MERCEDES",
        "name_prefix": "Dr.",
        "credential": "CSN, ND",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-16",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR11791700",
            "primary": false
        },
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NJ",
            "license": "550305",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00173700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Kint, MS, CCC-SLP
• Michael Howard Kirsch, D.D.S.
• Dennis F La Scala, PH.D.
• Lightport Physical Therapy
• Cornelia H Liu, DMD
• Josephine Lopez
• Timothy James Lyons Jr., D.C.
• Mona Maaty, MD
• Jeffrey Macaluso
• Taylor Anderson Maginnis, PT, DPT

• Acupuncturist in Caldwell, NJ
• Providers in Caldwell, NJ by specialty
• Acupuncturist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.