Individual provider Active NPI

Vandana R Long, MD

  • Specialist
  • Newark, DE
National Provider Identifier
1831119189
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
C10008041 Issued in DE
Practice address
71 Omega Dr # D
Omega Professional Center
Newark, DE 19713-2063
Phone
(302) 283-3300
Fax
(302) 283-3321
NPI assigned
Jul 20, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X C10008041 DE Primary

Addresses

Primary practice location

71 Omega Dr # D
Omega Professional Center
Newark, DE 19713-2063

Mailing address

4745 Ogletown Stanton Rd
Medical Arts Pavillion
Newark, DE 19713-2067
Phone (302) 283-3300

Other identifiers 1

IdentifierTypeStateIssuer
0000146802MedicaidDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070122000430 DE Practitioner - Gastroenterology 0941201735 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Warren Alpert Medical School of Brown University, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Delaware Center for Digestive Care LLCGroup PAC ID 5890089353, 68 clinicians
Christiana Care Health Services IncGroup PAC ID 9739097569, 1,480 clinicians

Practice addresses (Care Compare)

4745 Ogletown Stanton Rd
Newark, DE 19713-2074
Phone (302) 738-5300

4755 Ogletown Stanton Rd
Newark, DE 19718-2200
Phone (302) 733-1000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy198
Upper gastrointestinal (GI) endoscopy for acid reflux167

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C10008041DEMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services Inc CurrentSince Mar 1, 2014 Accepting new patients
Delaware Center for Digestive Care LLC Specialist CurrentSince Jul 1, 2016 Accepting new patients
Christiana Care Health Services Inc CurrentSince Mar 1, 2014 Accepting new patients

Locations

4745 Ogletown Stanton Rd
Ste 134
Newark, DE 19713
Phone (302) 452-3000

4745 Stanton Ogletwn Rd
Newark, DE 19713
Phone (302) 623-7600

4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700

71 Omega Dr
#D
Newark, DE 19713
Phone (302) 540-5603

1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440

Interoperability endpoints

  • Direct secure messaging: vandana.long@magic.eclinicaldirectplus.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1831119189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4745 OGLETOWN STANTON RD",
            "address_2": "MEDICAL ARTS PAVILLION",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132067",
            "telephone_number": "302-283-3300",
            "fax_number": "302-283-3321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 OMEGA DR # D",
            "address_2": "OMEGA PROFESSIONAL CENTER",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132063",
            "telephone_number": "302-283-3300",
            "fax_number": "302-283-3321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "VANDANA",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "DE",
            "license": "C10008041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000146802",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.