Susan E Long, CRNP

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

SP007777 Issued in PA

Practice address

212 Girard Ave
Glenside, PA 19038-1010

Phone

(215) 572-0302

Fax

(215) 517-7594

NPI assigned

Jul 25, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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 and National Provider Directory roles.

• Abington Memorial Hospital

  • Family Medicine Physician
  • Jenkintown, PA
  • NPI 1235286253
  Medicare reassignment NPD
• Abington Memorial Hospital

  • Maternal & Fetal Medicine Physician
  • Abington, PA
  • NPI 1649033069
  NPD

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479427200000",
    "number": "1831112887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 MARYLAND RD",
            "address_2": "SUITE #400",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190901216",
            "telephone_number": "215-481-3064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 GIRARD AVE",
            "city": "GLENSIDE",
            "state": "PA",
            "postal_code": "190381010",
            "telephone_number": "215-572-0302",
            "fax_number": "215-517-7594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "SUSAN",
        "middle_name": "E",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2016-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "SP007777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102167849",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shana Levi-Nielsen, LICENSED PSYCH
• Brian C Ligi, RD, LDN
• Limitless Home Health Care LLC
• Calvin Tao Lin, DMD
• Elizabeth Marieanne Lobecker, M.S., CCC-SLP
• Emily J Lorimer, RDN, LDN
• Julie E Lowe
• Michael Lyons, MD
• Zachary Lyons, M.D.
• Amirah Macon

• Family Medicine Physician in Glenside, PA
• Providers in Glenside, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.