Active NPIIndividual providerSole proprietor

Mrs. Marianne M Longo

Nurse Practitioner in Ridgewood, New Jersey

NPI Number1104210301
Practice location
1200 E Ridgewood Ave, 2ND Floor, Ridgewood, NJ 07450-3957
Fax
201-670-6693
Last updated
March 26, 2015

Marianne Marie Longo is a Nurse Practitioner based in Ridgewood, NJ. Marianne Marie Longo practices in Ridgewood, NJ. The NPI Number for Marianne Marie Longo is 1104210301 and holds a License No. 26NJ00559700 (NJ). The current practice location address for Marianne Marie Longo is 1200 E Ridgewood Ave, 2ND Floor, Ridgewood, NJ 07450-3957 and can be reached out via phone at 201-670-8660 and via fax at 201-670-6693.

Provider Profile Details

NPI Number
1104210301
Provider Name
Marianne Marie Longo
Provider Entity Type
Individual
Gender
Female
Address
1200 E Ridgewood Ave, 2ND Floor, Ridgewood, NJ 07450-3957
Phone Number
201-670-8660
Fax Number
201-670-6693
Primary Taxonomy
Nurse Practitioner · 363L00000X
Sole Proprietor
Yes
Provider Enumeration Date
March 25, 2015
Last Update Date
March 26, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
1200 E Ridgewood Ave
2ND Floor
Ridgewood, NJ 07450-3957
Zip
07450-3957
Phone Number
201-670-8660
Fax Number
201-670-6693
Ridgewood, NJ 07450Get directions →

Provider Business Mailing Address Details

Address
1200 E Ridgewood Ave
2ND Floor
Ridgewood, NJ 07450-3957
City
Ridgewood
State
NJ
Zip
07450-3957
Phone Number
201-670-8660
Fax Number
201-670-6693

License Information

License Number
26NJ00559700
License State
NJ
Taxonomy
Nurse Practitioner · 363L00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Marianne M Longo?

The NPI number of Mrs. Marianne M Longo is 1104210301. It was assigned on March 25, 2015 and is currently active in the NPPES registry.

What is the specialty of Mrs. Marianne M Longo?

Mrs. Marianne M Longo is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in NJ under license number 26NJ00559700.

Where does Mrs. Marianne M Longo practice?

The practice location is 1200 E Ridgewood Ave, 2ND Floor, Ridgewood, NJ 07450-3957. The office can be reached at 201-670-8660 (phone) or 201-670-6693 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104210301 directly on the NPPES registry website.

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