JOHN LONGO NPI 1033411715

NPI Information

  • NPI: 1033411715
  • Provider Name: JOHN LONGO
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Doing Business As: PARK CHIROPRACTIC CENTER, LLC
  • Address: 715 BLOOMFIELD AVE
    NUTLEY, NJ
    ZIP 07110
  • Phone: (973) 661-2303

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NPI Details

JOHN LONGO is a chiropractor in Nutley, NJ. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. JOHN LONGO NPI is 1033411715. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Park Chiropractic Center, Llc.

The provider's business location address is:

715 BLOOMFIELD AVE
NUTLEY, NJ
ZIP 07110-021
Phone: (973) 661-2303
Fax: (973) 661-9141

The provider's authorized official is John Nicholas Longo .
The authorized official title is Owner and has the following contact phone number (973) 661-2303.

The enumeration date for this NPI number is 12/1/2010 and was last updated on 12/1/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor38MC00205200NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11474103MEDICAIDNEW JERSEY
2T45241MEDICARE UPINNEW JERSEY
3LO452087MEDICARE PINNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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