MR. JOHN A LONG MD NPI 1821062704

NPI Information

NPI: 1821062704
Provider Name: MR. JOHN A LONG, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
10810 CONNECTICUT AVE
KAISER PERMANENTE KENSINGTON MEDICAL CENTER
KENSINGTON, MD
ZIP 20895
Phone: (301) 929-7100
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MR. John A Long, MD is a diagnostic radiology radiology in Kensington, MD. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. MR. John A Long, MD NPI is 1821062704. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

10810 CONNECTICUT AVE
KAISER PERMANENTE KENSINGTON MEDICAL CENTER
KENSINGTON, MD
ZIP 20895-138
Phone: (301) 929-7100

The NPI 1821062704 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/15/2006 and was last updated on 12/6/2012.

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
1	2085R0202X	Radiology	Diagnostic Radiology	0101031814	VIRGINIA	No
2	2085R0202X	Radiology	Diagnostic Radiology	MD33242	DISTRICT OF COLUMBIA	No
3	2085R0202X	Radiology	Diagnostic Radiology	D22299	MARYLAND	Yes

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
1	A45625	MEDICARE UPIN
2	7200617	MEDICAID	VIRGINIA
3	000N3V18	MEDICARE ID-TYPE UNSPECIFIED	VIRGINIA

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: 5/5/2024

NPI Synchronization or Removal

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