Individual provider Active NPI

Suzie H Long, C.R.N.P.

  • Nurse Practitioner
  • Wilmington, DE
National Provider Identifier
1962405589
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP008386 Issued in PA
Practice address
3411 Silverside Rd Ste 100
Wilmington, DE 19810-4811
Phone
(302) 543-5454
NPI assigned
May 27, 2005
Last updated
Aug 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP008386 PA Primary

Addresses

Primary practice location

3411 Silverside Rd Ste 100
Wilmington, DE 19810-4811

Mailing address

3411 Silverside Rd Ste 100
Wilmington, DE 19810-4811
Phone (302) 543-5454

Other practice location 1

5803 Kingsessing Ave
Philadelphia, PA 19143-5545
Phone (215) 685-2684

Other practice location 2

665 Churchmans Rd
Newark, DE 19702-1937
Phone (130) 273-1090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050318000257 PA Practitioner - Nurse Practitioner 5698720092 Reassigns benefits to 1 organization
I20230926002007 DE Practitioner - Nurse Practitioner 5698720092 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Zarek Donohue LLCGroup PAC ID 5597807008, 22 clinicians

Practice addresses (Care Compare)

3411 Silverside Rd
Suite 100
Wilmington, DE 19810-4811
Phone (302) 543-5454

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Zarek Donohue LLC CurrentSince Aug 21, 2023 Accepting new patients
Resources for Human Development, Inc. Current Accepting new patients
Resources for Human Development, Inc. CurrentSince Jul 5, 2016 Accepting new patients
Family Practice & Counseling Services Network, Inc. CurrentSince Jul 5, 2016 Accepting new patients
Zarek Donohue LLC CurrentSince Aug 21, 2023 Accepting new patients

Locations

665 Churchmans Rd
Newark, DE 19702
Phone (302) 731-0900

3411 Silverside Rd
Ste 100
Wilmington, DE 19810
Phone (302) 543-5454

2300 W Master St
Philadelphia, PA 19121
Phone (267) 687-1172

4700 Wissahickon Ave
Bldg D
Philadelphia, PA 19144
Phone (215) 843-9720

4700 Wissahickon Ave
Ste 118
Philadelphia, PA 19144
Phone 26759736006771

5803 Kingsessing Ave
Philadelphia, PA 19143
Phone (215) 685-2684

Interoperability endpoints

  • Direct secure messaging: suzie.long@107234456698884.direct.elationemr.com

Organizations & group practices 5

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": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1962405589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3411 SILVERSIDE RD STE 100",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104811",
            "telephone_number": "302-543-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3411 SILVERSIDE RD STE 100",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104811",
            "telephone_number": "302-543-5454"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5803 Kingsessing Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191435545",
            "country_code": "US",
            "telephone_number": "215-685-2684",
            "fax_number": "215-726-4507",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "665 Churchmans Rd",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197021937",
            "country_code": "US",
            "telephone_number": "130-273-1090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONG",
        "first_name": "SUZIE",
        "middle_name": "H",
        "credential": "C.R.N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-05-27",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP008386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.