Long Dermatology PA
NPI 1801003496 · Dermatology Physician · Ormond Beach, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Long Dermatology PA is a Dermatology Physician organization in Ormond Beach, FL (NPI 1801003496).
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
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
Mailing address
Other names (DBA / former)
- Doing business as
- Associated Dermatologist PA
Registry dates
- Enumerated
- 2007-05-16
- Last updated
- 2008-04-20
Frequently asked questions
- What is Long Dermatology PA's NPI number?
- Long Dermatology PA's National Provider Identifier (NPI) is 1801003496, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Long Dermatology PA?
- Long Dermatology PA is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Long Dermatology PA located?
- Long Dermatology PA's practice location on file with NPPES is 155 N Nova Rd, Ormond Beach, FL 32174-5138.
- What is Long Dermatology PA's phone number?
- The practice phone number listed in the NPPES registry for Long Dermatology PA is (386) 672-3111.
- Does Long Dermatology PA accept Medicare?
- Long Dermatology PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Long Dermatology PA?
- The authorized official listed on Long Dermatology PA's NPPES record is John Long, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Long Dermatology PA's NPI active?
- Yes — Long Dermatology PA's NPI (1801003496) is active in the NPPES registry as of the last update on 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.