Individual provider Active NPI

William Americo Longo, M.D.

  • Surgery Physician
  • Middletown, CT
National Provider Identifier
1861471179
Registry record updated Jul 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
023666 Issued in CT
Practice address
520 Saybrook Rd
Middletown, CT 06457-4700
Phone
(860) 346-2608
Fax
(860) 347-4691
NPI assigned
Jan 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2010

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 023666 CT Primary
Vascular Surgery Physician 2086S0129X 023666 CT
Surgical Oncology Physician 2086X0206X 023666 CT
Colon & Rectal Surgery Physician 208C00000X 023666 CT

Addresses

Primary practice location

520 Saybrook Rd
Middletown, CT 06457-4700

Mailing address

239 Old Mill Rd
Middletown, CT 06457-2419
Phone (860) 346-2608

Other identifiers 1

IdentifierTypeStateIssuer
001236660MedicaidCT

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

LicenseStateTypeSpecialty
023666CTMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Middletown Surgical Group, Prof Corp Surgery Current Accepting new patients

Locations

520 Saybrook Rd
Middletown, CT 06457
Phone (860) 346-2608

520 Saybrook Rd
Ste S100
Middletown, CT 06457
Phone (860) 346-2608

5 Pequot Park Rd
Ste 203
Westbrook, CT 06498
Phone (860) 358-3909

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280275200000",
    "number": "1861471179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 OLD MILL RD",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064572419",
            "telephone_number": "860-346-2608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 SAYBROOK RD",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064574700",
            "telephone_number": "860-346-2608",
            "fax_number": "860-347-4691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGO",
        "first_name": "WILLIAM",
        "middle_name": "AMERICO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-13",
        "last_updated": "2010-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CT",
            "license": "023666",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CT",
            "license": "023666",
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "CT",
            "license": "023666",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "CT",
            "license": "023666",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001236660",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; 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.