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DATA LONGJOHN MD
NPI 1215075882
Internal Medicine in Wyandanch, NY

Active since February 03, 2007PECOS EnrolledAccepts Medicare Assignment
1537 STRAIGHT PATH, STE102, WYANDANCH, NY 11798(631) 253-0270(631) 253-0273 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Data Longjohn Md NPPES

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

DATA LONGJOHN MD (NPI 1215075882) is an individual internal medicine provider in Wyandanch, New York, licensed in New York (211159) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS, is affiliated with Good Samaritan Hospital Medical Center, and is a graduate of Other (1985).

NPPES Registry Identity

NPI1215075882
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDATA LONGJOHNCredential: MD
Location Address1537 STRAIGHT PATH, STE102Wyandanch, NY 11798-3414
Mailing Address1537 Straight Path, Ste102Wyandanch, NY 11798-3414 · (631) 253-0270 · Fax (631) 253-0273
Phone(631) 253-0270
Fax(631) 253-0273
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateFebruary 3, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1215075882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 211159
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1537 STRAIGHT PATH, Wyandanch, NY 11798
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Other Identifiers 3

Medicare UPING99941NY
Medicare ID-Type Unspecified796742NY
Medicaid01889129NY

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

Data Longjohn Md 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 ID4082503479
PECOS Enrollment IDI20040312001315
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
28 services14 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
25 services15 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
14 services14 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Good Samaritan Hospital Medical Center

Acute Care Hospitals · West Islip, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330286
Location1000 Montauk HighwayWest Islip, NY 11795 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11798 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers13 claims18 services$6.56 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

SMS1 PHARMACY CORP
Pharmacy (Community/Retail Pharmacy)
1537 STRAIGHT PATH
WYANDANCH, NY 11798
Suffolk County (631) 643-4354
SKOPE MEDICAL CARE P.C.
Internal Medicine
1537 STRAIGHT PATH, STE 102
WYANDANCH, NY 11798
Suffolk County (631) 253-0270
PURTI DRUGS CORP
Pharmacy
1537 STRAIGHT PATH
WYANDANCH, NY 11798
Suffolk County (631) 643-4354
AMARISH KACHHY R.PH
Pharmacist
1537 STRAIGHT PATH
WYANDANCH, NY 11798
Suffolk County (631) 643-4354
FARAH MUNAWAR WALELE
Pharmacist
1537 STRAIGHT PATH
WYANDANCH, NY 11798
Suffolk County (631) 643-4354

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 Data Longjohn's NPI number?

The NPI number for Data Longjohn is 1215075882. It was assigned to this individual provider in the NPPES registry on February 3, 2007.

Where is Data Longjohn located?

Data Longjohn practices at 1537 Straight Path Ste102, Wyandanch, NY 11798. The listed phone number is (631) 253-0270.

What is Data Longjohn's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Data Longjohn enrolled in Medicare?

Yes. Data Longjohn 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 Data Longjohn affiliated with any hospitals?

According to CMS data, Data Longjohn is affiliated with Good Samaritan Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Data Longjohn was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.