JACOB RAYMOND LONG DO
NPI 1194513929
Student in an Organized Health Care Education/Training Program in Dayton, OH
About Jacob Raymond Long Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACOB RAYMOND LONG DO (NPI 1194513929) is an individual student in an organized health care education/training program in Dayton, Ohio and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jacob Raymond Long Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DAYTON, OH 45409
DAYTON, OH 45409
DAYTON, OH 45409
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 Jacob Long's NPI number?
The NPI number for Jacob Long is 1194513929. It was assigned to this individual provider in the NPPES registry on April 30, 2025.
Where is Jacob Long located?
Jacob Long practices at 1 Wyoming St, Dayton, OH 45409. The listed phone number is (937) 208-3882.
What is Jacob Long's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Jacob Long enrolled in Medicare?
Yes. Jacob Long is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jacob Long was last updated on June 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Jacob Raymond Long, DO · NPI 1194513929
Student in an Organized Health Care Education/Training Program provider in Dayton, Ohio. Individual provider, active in the CMS NPPES registry since April 30, 2025.
## Identity
- **NPI:** 1194513929 (Entity type: Individual)
- **Enumerated:** April 30, 2025
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1 WYOMING ST, Dayton, OH 45409-2722
- **Phone:** (937) 208-3882
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** June 17, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1194513929) · Data from the CMS NPPES public registry.