Active NPIIndividual provider

Jessie C Long, MD

Pediatrics in Ridgewood, New Jersey

NPI Number1881871531
Practice location
127 Union St Ste 108, Ridgewood, NJ 07450-4436
Fax
—
Last updated
June 23, 2025

Jessie C Long is a Pediatrics based in Ridgewood, NJ. Jessie C Long practices in Ridgewood, NJ and has the professional credentials of MD. The NPI Number for Jessie C Long is 1881871531 and holds a License No. 25MA09434700 (NJ). The current practice location address for Jessie C Long is 127 Union St Ste 108, Ridgewood, NJ 07450-4436 and can be reached out via phone at 201-670-1231.

Provider Profile Details

NPI Number
1881871531
Provider Name
Jessie C Long
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
127 Union St Ste 108, Ridgewood, NJ 07450-4436
Phone Number
201-670-1231
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
No
Provider Enumeration Date
January 24, 2008
Last Update Date
June 23, 2025
Certification Date
June 23, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
127 Union St Ste 108
Ridgewood, NJ 07450-4436
Zip
07450-4436
Phone Number
201-670-1231
Ridgewood, NJ 07450Get directions →

Provider Business Mailing Address Details

Address
401 Route 73 N Bldg 10, Suite 320
Marlton, NJ 08053
City
Marlton
State
NJ
Zip
08053
Phone Number
856-872-7055

License Information

License Number
25MA09434700
License State
NJ
Taxonomy
Pediatrics · 208000000X · 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 Jessie C Long, MD?

The NPI number of Jessie C Long, MD is 1881871531. It was assigned on January 24, 2008 and is currently active in the NPPES registry.

What is the specialty of Jessie C Long, MD?

Jessie C Long, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in NJ under license number 25MA09434700.

Where does Jessie C Long, MD practice?

The practice location is 127 Union St Ste 108, Ridgewood, NJ 07450-4436. The office can be reached at 201-670-1231 (phone).

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 1881871531 directly on the NPPES registry website.

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