OrganizationActive
Long Dermatology PA
NPI 1801003496 · Dermatology Physician · Ormond Beach, FL
Provider details
- NPI number
- 1801003496
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- John Long, Owner(386) 672-3111
- License
- ME68137 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
155 N Nova Rd
Ormond Beach, FL 32174-5138
Phone: (386) 672-3111
Fax: (386) 672-6532
Street-level locationGet directions
Mailing address
155 N Nova Rd
Ormond Beach, FL 32174-5138
Other names (DBA / former)
- Doing business as
- Associated Dermatologist PA
Registry dates
- Enumerated
- 2007-05-16
- Last updated
- 2008-04-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.