Individual
DR. JOHN N LONGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
715 BLOOMFIELD AVE, NUTLEY, NJ 07110-1021
(973) 661-2303
(973) 661-9141
Mailing address
715 BLOOMFIELD AVE, NUTLEY, NJ 07110-1021
(973) 661-2303
(973) 661-9141
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
38MC00205200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0103960000
AMERI HEALTH
NJ
01
—
0645815000
AMERI HEALTH
NJ
05
—
1474103
—
NJ
01
—
2707222
AETNA
NJ
01
—
2K0567
HEALTH NET
NJ
01
—
300051
AMERICAN SPECIALTY
NJ
01
—
339061
ONE HEALTH PLAN
NJ
01
—
476158
FOCUS
NJ
01
—
5802244
GHI
NJ
01
—
812454
MPN
NJ
01
—
NJ02052
LANDMARK/PHS
NJ
01
—
P-12015796
MULTI PLAN
NJ
01
—
P2579971
OXFORD
NJ
01
—
X2528
WELL CHOICE
NJ
Enumeration date
04/20/2006
Last updated
06/09/2008
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