BRODERICK D. LONGO – NPI #1750936704
Specialist/Technologist, Other

BRODERICK LONGO is a technologist located in SHREWSBURY, NJ. NPPES has assigned the NPI number 1750936704 to BRODERICK LONGO on August 07, 2019. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 246ZA2600X from the Health Care Provider Taxonomy code set, which is classified as Specialist/Technologist, Other, specializing in Art, Medical

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BRODERICK LONGO below.

NPI Profile for
BRODERICK D. LONGO

NPI Number
1750936704
Enumeration Date

(about 7 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
BRODERICK D. LONGO
Primary location
535 SYCAMORE AVE
SHREWSBURY, NJ 07702-4224
Phone: (732) 741-0970 Fax:
1 Other location(s):
616 Arnold Ave
Point Pleasant Beach, NJ 08742-2531
Phone: (732) 295-2582
Mailing address
417 DRISCOL DR
BRICK, NJ 08724-2777
Phone: (732) 600-1203 Fax:
Sole Proprietor
Yes
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
246ZA2600X
- Specialist/Technologist, Other / Art, Medical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.