LOGAN B LONG PA-C
NPI 1245180306
Physician Assistant in Deptford, NJ

Active since January 29, 2026
1132 COOPER ST, DEPTFORD, NJ 08096(856) 848-8060 Get Directions Write a Review

NPPES record last updated: March 26, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 26, 2026, Jan 29, 2026 (2 updates tracked since 2026).

About Logan B Long Pa-c NPPES

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

LOGAN B LONG PA-C (NPI 1245180306) is an individual physician assistant in Deptford, New Jersey and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1245180306
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameLOGAN B LONGCredential: PA-C
Location Address1132 COOPER STDeptford, NJ 08096-3014
Mailing AddressPo Box 22Lederach, PA 19450-0022
Sole ProprietorNo
Enumeration DateJanuary 29, 2026
Last NPPES UpdateMarch 26, 20262 updates tracked since enumeration
NPPES CertifiedMarch 26, 2026
NPI 1245180306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1132 COOPER ST, Deptford, NJ 08096

Other Providers at the Same Location NPPES 9

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

Clinic/Center (Urgent Care)
1132 COOPER ST
DEPTFORD, NJ 08096
Internal Medicine (Critical Care Medicine)
1132 COOPER ST
DEPTFORD, NJ 08096
Physician Assistant
1132 COOPER ST
WOODBURY, NJ 08096
Physician Assistant
1132 COOPER ST
DEPTFORD, NJ 08096
Clinic/Center (Primary Care)
1132 COOPER ST
DEPTFORD, NJ 08096
Pediatrics
1132 COOPER ST
DEPTFORD, NJ 08096
Nurse Practitioner (Family)
1132 COOPER ST
DEPTFORD, NJ 08096
Nurse Practitioner (Family)
1132 COOPER ST
DEPTFORD, NJ 08096

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 Logan Long's NPI number?

The NPI number for Logan Long is 1245180306. It was assigned to this individual provider in the NPPES registry on January 29, 2026.

Where is Logan Long located?

Logan Long practices at 1132 Cooper St, Deptford, NJ 08096. The listed phone number is (856) 848-8060.

What is Logan Long's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Logan Long was last updated on March 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.