Dr. John N Longo
Chiropractic Sports Physician
715 Bloomfield Ave
Nutley
, New Jersey 07110-1021
Dr. John N Longo
Chiropractic Sports Physician
715 Bloomfield Ave
Nutley
, New Jersey 07110-1021
(973) 661-9141
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About
Features
Specialties
- Chiropractic Sports Physician
Languages spoken
- English
Location
First Address
- Dr. John N Longo
- 715 Bloomfield Ave
- Nutley, NJ
- Zip : 07110-1021
- Fax : (973) 661-9141
- Phone : (973) 661-2303
Second Address
- Dr. John N Longo
- 715 Bloomfield Ave
- Nutley, NJ
- Zip : 07110-1021
- Fax : (973) 661-9141
- Phone : (973) 661-2303
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NS0005X | Chiropractic Sports Physician | 38MC00205200 | NJ |
National Provider Identifier
| NPI | 1225093263 |
|---|---|
| Provider Name | Dr. John N Longo |
| First Address | Nutley, NJ 07110-1021 |
| Second Address | Nutley, NJ 07110-1021 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/04/2006 |
| Last Update Date | 09/06/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0103960000 | AMERI HEALTH (01) | NJ |
| 0645815000 | AMERI HEALTH (01) | NJ |
| 1474103 | (05) | NJ |
| 2707222 | AETNA (01) | NJ |
| 2K0567 | HEALTH NET (01) | NJ |
| 300051 | AMERICAN SPECIALTY (01) | NJ |
| 339061 | ONE HEALTH PLAN (01) | NJ |
| 476158 | FOCUS (01) | NJ |
| 5802244 | GHI (01) | NJ |
| 812454 | MPN (01) | NJ |
| NJ02052 | LANDMARK/PHS (01) | NJ |
| P-12015796 | MULTI PLAN (01) | NJ |
| P2579971 | OXFORD (01) | NJ |
| T45241 | (02) | NJ |
| X2528 | WELL CHOICE (01) | NJ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.