# LONGA HEALTH SERVICES ,LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710689633
- **Authorized official:** LONGA PETER DNP (AUTHORIZED OFFICIAL/OWNER)
- **Authorized official phone:** (908) 642-5417

## Contact information

- **Practice address:** 121 SHELLEY DR STE 2F, HACKETTSTOWN, NJ 07840-2530
- **Practice address phone:** (908) 642-5417
- **Practice address fax:** (908) 813-2715
- **Mailing address:** 121 SHELLEY DR STE 2F, HACKETTSTOWN, NJ 07840-2530
- **Mailing address phone:** (908) 642-5417
- **Mailing address fax:** (908) 813-2715

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 03/22/2023
- **Last updated:** 01/22/2024