DR. JEFFREY CLARKE LONG (NPI# 1376561910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376561910 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY CLARKE LONG |
| Credential | M.D. |
| Practice Address |
35 Lyon St Naples NY 14512-9707 |
| Mailing Address |
Po Box 249 35 Lyon Street Naples NY 14512-0249 |
| Practice Telephone | 5853742900 |
| Practice Fax Number | 5853942950 |
| Mailing Telephone | 5853742900 |
| Mailing Fax Number | 5853942950 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2011-11-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 157100 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01044480 | 05 | |
| NY | NYS LICENSE | 157100 | 01 |
| NY | DEA | AL2693150 | 01 |
| NY | TAX ID | 16-1311940 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497224935 | Jeffrey Michael Long | Physical Therapist | 871 Mountain Ave Ste 122, Springfield, NJ 07081-3434 | 2018-11-14 |
| 1770602302 | Jeffrey Michael Long | Optometrist | 7374 S. Olympia Ave., Tulsa, OK 74132-1849 | 2007-03-28 |
| 1407327299 | Jeffrey A Long | Physician Assistant | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2018-12-06 |
| 1710388145 | Jeffrey James Long | Physician Assistant | 2501 Capehart Rd, Offutt Afb, NE 68113-1043 | 2014-09-04 |
| 1457760639 | Jeffrey Todd Long | Pharmacist | 123 Saint Nazaire Rd, Broussard, LA 70518-4202 | 2014-08-12 |
| 1730441999 | Jeffrey Long | Counselor | 500 Walnut St, Mckeesport, PA 15132-2801 | 2012-06-13 |
| 1699008441 | Jeffrey S Long | Pharmacy Technician | 11134 Q St, Omaha, NE 68137-3609 | 2009-09-11 |
| 1508071994 | Jeffrey Long | Counselor | 500 N West St, Doylestown, PA 18901-2366 | 2007-05-11 |
| 1508993007 | Jeffrey Leonard Long | Pharmacist | 945 Bethesda Dr, Zanesville, OH 43701-0801 | 2007-02-28 |
| 1245326933 | Jeffrey Wayne Long | Family Medicine | 42320 Highway 195, Haleyville, AL 35565 | 2006-10-04 |
| Street Address |
35 LYON ST |
| City | NAPLES |
| State | NY |
| Zip Code | 14512-9707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639197197 | Cynthia Elizabeth Teerlinck | Family Medicine | 35 Lyon St, Naples, NY 14512-9707 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417409434 | Finger Lakes Dental Care, PC Dba Finger Lakes Dental Care of Naples | Dentist | 24 Mills St, Naples, NY 14512 | 2016-10-25 |
| 1679846042 | Catherine Reitz Thayer | Speech-Language Pathologist | 136 North Main Street, Naples Central School District, Naples, NY 14512 | 2012-02-16 |
| 1790054385 | Michelle L Wright | Acupuncturist | 19 Mill Street, Naples, NY 14512 | 2011-12-28 |
| 1083923379 | Gwen Ann Stockdale-fellows | Occupational Therapist | 2 Academy Street, Naples Central School District, Naples, NY 14512 | 2010-10-04 |
| 1124152715 | Wayne S Chanler | Dentist | 106 N. Main Street, Naples, NY 14512 | 2007-03-15 |
| 1134278823 | Colleen Sue Foote | Physician Assistant | 35 Lyon St., Naples, NY 14512 | 2007-01-10 |
| 1518022334 | Naples Central School | Local Education Agency (LEA) | 136 N. Main St., Naples, NY 14512 | 2006-12-22 |
| 1306935408 | Robert P Fardette | Licensed Practical Nurse | 6952 Hackberry Dr, Naples, NY 14512 | 2006-10-12 |
| 1811011653 | Wayne S Chanler, Dmd, PC | Dentist | 106 North Main Street, Naples, NY 14512 | 2007-03-19 |
| 1477893865 | Naples Apothecary Inc | Pharmacy | 129 S Main St, Naples, NY 14512-0000 | 2013-02-21 |
| Find all providers in zip 14512 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992348437 | Daniel Joseph Rosende | Family Medicine | 2928 50th Ter Sw, Naples, FL 34116-7632 | 2019-10-28 |
| 1922655505 | Jill Layman | Family Medicine | 8165 Xenia Ln, Naples, FL 34114-2698 | 2019-08-20 |
| 1114487097 | Grant Charles Cardon | Family Medicine | 5921 Three Iron Dr Unit 2904, Naples, FL 34110-3213 | 2019-03-25 |
| 1427548189 | Ellen Lamanilao | Family Medicine | 15777 Marcello Cir, Naples, FL 34110-2834 | 2018-05-17 |
| 1528564911 | Collier Health Service, Inc | Family Medicine | 1265 Creekside Pkwy Ste 206, Naples, FL 34108-1954 | 2018-04-04 |
| 1346760683 | Marco Island Pharmacy 2 LLC | Family Medicine | 5475 Golden Gate Pkwy Ste 5w, Naples, FL 34116-7529 | 2017-06-27 |
| 1871946236 | Elite Healthcare and Wellness Group, Inc | Family Medicine | 2400 Vanderbilt Beach Rd, Suite 106, Naples, FL 34109-2771 | 2016-07-20 |
| 1780064428 | Naples West Group | Family Medicine | 5051 Castello Dr Ste 41, Naples, FL 34103-8984 | 2015-06-08 |
| 1801281589 | Paul Francis Hemrick | Family Medicine | 400 8th St N Fl 2, Naples, FL 34102-5519 | 2015-03-31 |
| 1679988299 | Andrea Bickerton | Family Medicine | 8855 Immokalee Rd Unit 11, Naples, FL 34120-3928 | 2014-06-23 |
| Find all providers in NAPLES | ||||
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| 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.