Long Dermatology PA
Long Dermatology PA is a healthcare organization registered as Dermatology Physician in Ormond Beach, FL, holding Type 2 (organization) NPI 1801003496 since 2007. The authorized official on file is John Long, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1801003496 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Long Dermatology PA |
| Other name | <Unavail> |
| Practice address | 155 N NOVA RD, Ormond Beach, FL, 32174 |
| Phone | 3866723111 |
| Fax | 3866726532 |
| Enumeration date | 2007-05-16 |
| Last updated in NPPES | 2008-04-20 |
Authorized official
| Name | John Long |
|---|---|
| Title | Owner |
| Phone | 3866723111 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207N00000X | Dermatology Physician | Primary | ME68137 | FL |
Copy-ready billing details
Provider: Long Dermatology PA NPI: 1801003496 Taxonomy: 207N00000X (Dermatology Physician) Address: 155 N NOVA RD, Ormond Beach, FL, 32174
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1356351043 | John Long | Individual | Dermatology Physician | Ormond Beach, FL |
| 1861687071 | Associated Dermatologist PA | Organization | Dermatology Physician | Ormond Beach, FL |
Verify this record
Cross-check NPI 1801003496 against the authoritative CMS record: view Long Dermatology PA on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Long Dermatology PA?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2008-04-20.