MRS. MARIANNE MARIE LONGO (NPI# 1104210301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104210301 |
| Entity Type | Individual |
| Full Name | MRS. MARIANNE MARIE LONGO |
| Practice Address |
1200 E Ridgewood Ave 2nd Floor Ridgewood NJ 07450-3957 |
| Practice Telephone | 2016708660 |
| Practice Fax Number | 2016706693 |
| Mailing Telephone | 2016708660 |
| Mailing Fax Number | 2016706693 |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2015-03-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 26NJ00559700 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063538866 | Marianne Longo | Nurse Practitioner | 900 Cottage Grove Rd, Hartford, CT 06152-0001 | 2007-03-22 |
| Street Address |
1200 E RIDGEWOOD AVE 2ND FLOOR |
| City | RIDGEWOOD |
| State | NJ |
| Zip Code | 07450-3957 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427053537 | Joel E. Kopelman | Plastic Surgery | 1200 E Ridgewood Ave, Ste 1, Ridgewood, NJ 07450-3957 | 2005-06-15 |
| 1558915140 | Joy Charnesky | Neurological Surgery | 1200 E Ridgewood Ave, Ridgewood, NJ 07450-3957 | 2019-07-31 |
| 1811411267 | Tamar D Mermelstein | Physician Assistant | 1200 E Ridgewood Ave, Ridgewood, NJ 07450-3957 | 2017-07-27 |
| 1982142832 | Nicole Mohr | Physical Therapist | 1200 E Ridgewood Ave, Suite 208, Ridgewood, NJ 07450-3957 | 2017-02-10 |
| 1356897029 | Alexandra Kratch | Physical Therapist | 1200 E Ridgewood Ave, East Wing, Suite 208, Ridgewood, NJ 07450-3957 | 2016-08-31 |
| 1275919847 | Sylvia Ardeljan-savic | Physician Assistant | 1200 E Ridgewood Ave, Suite 200, Ridgewood, NJ 07450-3957 | 2015-08-06 |
| 1437544426 | Synapse Consulting | Specialist | 1200 E Ridgewood Ave, Ridgewood, NJ 07450-3957 | 2015-04-06 |
| 1679966907 | Advanced Surgical Center of Bergen County, P.C. | Clinic/Center | 1200 E Ridgewood Ave, Ste 211, Ridgewood, NJ 07450-3957 | 2015-03-11 |
| 1972923621 | Lenka Mysliwiec | Specialist | 1200 E Ridgewood Ave, Ridgewood, NJ 07450-3957 | 2014-04-21 |
| 1598017881 | Joel E Kopelman M.d., P.a. | Otolaryngology | 1200 E Ridgewood Ave, Suite 1a, Ridgewood, NJ 07450-3957 | 2012-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023675857 | Children's Aid and Family Services, Inc. | Behavioral Analyst | 213 Larue Road, W. Milford, NJ 07450 | 2019-05-28 |
| 1962065979 | Corey Chan | Student in an Organized Health Care Education/Training Program | 550 Lynn St, Ridgewood, NJ 07450 | 2019-04-16 |
| 1679058200 | Raymond Hawash | Pharmacist | 223 North Van Dien Ave, Ridgewood, NJ 07450 | 2018-09-28 |
| 1548771967 | Leonard Swerdlof | Dentist | 160 S Broad St, Ridgewood, NJ 07450 | 2017-10-12 |
| 1336671114 | Camp Sunshine and Camp Snowflake, Inc. | Respite Care | 1133 East Ridgewood Avenue, Ridgewood, NJ 07450 | 2017-03-30 |
| 1952764862 | Elysium Aesthetics and Vein Care, Inc | Radiology | 400 State Route 17, Ridgewood, NJ 07450 | 2016-03-30 |
| 1780077362 | Paul Walter Dasher | Psychologist | 76 West Ridgewood Avenue, Ridgewood, NJ 07450 | 2015-03-06 |
| 1255750071 | Myron Frank Lesh | Pharmacist | 305 E. Ridgewood Ave., Ridgewood, NJ 07450 | 2014-04-09 |
| 1649612912 | Jane Worthman-leva | Nutritionist | 357 South Irving St, Ridgewood, NJ 07450 | 2013-07-26 |
| 1427398858 | Life Opportunities Unlimited A Non Profit Corp. | Day Training, Developmentally Disabled Services | 75 North Maple Ave, Suite 104, Ridgewood, NJ 07450 | 2013-02-21 |
| Find all providers in zip 07450 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841807799 | Raquel Shivanna Sookram | Nurse Practitioner | 5505 Myrtle Ave, Ridgewood, NY 11385-3550 | 2020-09-24 |
| 1316128564 | Melinda H Sohval | Nurse Practitioner | 147 Walthery Ave, Ridgewood, NJ 07450-3507 | 2007-11-15 |
| 1811022726 | Lanie V Herrera | Nurse Practitioner | 66-55 Fresh Pond Rd, Ridgewood, NY 11385 | 2007-02-22 |
| 1265475693 | Annette Barragan | Nurse Practitioner | 20 W Ridgewood Ave # 7, Ridgewood, NJ 07450-3117 | 2006-06-14 |
| 1619920766 | Laurie Ann Ruta Dicorcia | Nurse Practitioner | 1200 E Ridgewood Ave Ste 304, Ridgewood, NJ 07450 | 2006-05-18 |
| 1407823149 | Ramona M Glaser | Nurse Practitioner | 265 Ackerman Ave, Ste 101, Ridgewood, NJ 07450 | 2006-03-01 |
| 1730564188 | Diana Marie Constantino | Nurse Practitioner | 1124 E Ridgewood Ave, Suite 103, Ridgewood, NJ 07450-3915 | 2015-07-28 |
| 1982094033 | Gladys Reyes | Nurse Practitioner | 223 N Van Dien Ave, Ridgewood, NJ 07450-2726 | 2015-01-28 |
| 1154738540 | Allison Weiss Langowski | Nurse Practitioner | 223 N Van Dien Ave, Ridgewood, NJ 07450-2736 | 2014-07-17 |
| 1932411857 | Anita Marie Basenese | Nurse Practitioner | 223 N Van Dien Ave, Ridgewood, NJ 07450-2726 | 2010-07-08 |
| Find all providers in RIDGEWOOD | ||||
Please comment or provide details below to improve the information on MRS. MARIANNE MARIE LONGO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.