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ELIZA JOSEPHINE LONG
NPI 1144054842
Physician Assistant - Surgical in Waterbury, CT

Active since August 27, 2024PECOS EnrolledAccepts Medicare Assignment
3801 E MAIN ST, WATERBURY, CT 06705(203) 709-4030 Get Directions Write a Review

NPPES record last updated: August 27, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eliza Josephine Long NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELIZA JOSEPHINE LONG (NPI 1144054842) is an individual surgical provider in Waterbury, Connecticut and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS, is affiliated with Mountain View Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1144054842
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameELIZA JOSEPHINE LONG
Location Address3801 E MAIN STWaterbury, CT 06705-3815
Mailing Address60 Broad St Apt 2aMilford, CT 06460-3391
Phone(203) 709-4030
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 27, 2024
NPPES CertifiedAugust 27, 2024
✔ NPI 1144054842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
3801 E MAIN ST, Waterbury, CT 06705
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Eliza Josephine Long is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2668900838
PECOS Enrollment IDI20260205000735
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mountain View Hospital

Acute Care Hospitals · Idaho Falls, ID
1/5 CMS rating
OwnershipPhysician
CMS Certification Number130065
Location2325 Coronado StreetIdaho Falls, ID 83404 · Bonneville County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KILEY DOYLE MICHAELS
Physician Assistant
3801 E MAIN ST
WATERBURY, CT 06705
Naugatuck Valley Planning Region (203) 709-4030
SNEHA TERESA SELVIN MD
Internal Medicine
3801 E MAIN ST
WATERBURY, CT 06705
Naugatuck Valley Planning Region (203) 709-4001
DEBRA J GIESEN APRN
Nurse Practitioner (Family)
3801 E MAIN ST
WATERBURY, CT 06705
Naugatuck Valley Planning Region (203) 709-4001
NICOLE SOOKHAN M.D.
Surgery
3801 E MAIN ST
WATERBURY, CT 06705
Naugatuck Valley Planning Region (203) 709-4001
MIRELA NICOLESCU MD
Internal Medicine (Rheumatology)
3801 E MAIN ST
WATERBURY, CT 06705
Naugatuck Valley Planning Region (203) 709-6855

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eliza Long's NPI number?

The NPI number for Eliza Long is 1144054842. It was assigned to this individual provider in the NPPES registry on August 27, 2024.

Where is Eliza Long located?

Eliza Long practices at 3801 E Main St, Waterbury, CT 06705. The listed phone number is (203) 709-4030.

What is Eliza Long's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Eliza Long enrolled in Medicare?

Yes. Eliza Long is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Eliza Long affiliated with any hospitals?

According to CMS data, Eliza Long is affiliated with Mountain View Hospital.

When was this NPI record last updated?

The NPPES record for Eliza Long was last updated on August 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.