ALEXANDRA DANIELLE LONG APN
NPI 1841013455
Nurse Practitioner - Gerontology in Nutley, NJ

Q: What is Alexandra Long's NPI number?

The NPI number for Alexandra Long is 1841013455. It was assigned to this individual provider in the NPPES registry on November 2, 2024.

Q: What is Alexandra Long's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Alexandra Long was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since November 02, 2024PECOS Enrolled

123 METRO BLVD, NUTLEY, NJ 07110(908) 552-8112 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Alexandra Danielle Long Apn NPPES

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

ALEXANDRA DANIELLE LONG APN (NPI 1841013455) is an individual gerontology provider in Nutley, New Jersey, licensed in New Jersey (26NJ15372700) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1841013455

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameALEXANDRA DANIELLE LONGCredential: APN

Location Address123 METRO BLVDNutley, NJ 07110-6101

Mailing Address123 Metro BlvdNutley, NJ 07110-6101

Phone(908) 552-8112

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateNovember 2, 2024

Last NPPES UpdateApril 29, 2026

NPPES CertifiedApril 29, 2026

✔ NPI 1841013455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in NJ · 26NJ15372700

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 26NR19508200 (NJ)

123 METRO BLVD, Nutley, NJ 07110

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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 (PECOS)

Alexandra Danielle Long Apn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID547738379

PECOS Enrollment IDI20260509000002

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07110 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

$98.09 typical visit price

range $63.84 – $190.92

Typical copayment $24.52 (range $15.96 – $47.73)

Most-billed visit code 99203

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

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.

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.

MARTINA BINUMON JOHN

Physician Assistant