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Active NPI 1245180306 Individual Practitioner Male Practitioner

Logan B Long , PA-C

Physician Assistant • Deptford, NJ

Professional Overview & Biography Verified Profile Summary

Logan Long, PA-C is a registered healthcare professional specializing in Physician Assistant in Deptford, NJ. Practice services are available at 1132 COOPER ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1132 Cooper St

Deptford, NJ 080963014

Telephone 8568488060
Associated Practice Facility / Clinic
🏢 Ultra Care Clinics Llc Facility NPI 1285034108

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Deptford, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.3 Yrs
State Avg: 10.1 Yrs
Regional Practice Density
7 Specialists

Practicing in Deptford, NJ (3413 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-03-26
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Dr. Imran Mirza , MD

Internal Medicine - Critical Care Medicine

NPI 1376573204

Doctor of Medicine (M.D.)

Megan Schlesinger

Physician Assistant

NPI 1427816180
Brenna Eadie , PA-C

Physician Assistant

NPI 1497517023

Physician Assistant (Certified)

NPI 1659655991

Doctor of Medicine (M.D.)

Jae Cha

Nurse Practitioner - Family

NPI 1669225991
Joanne Lyons , APN

Nurse Practitioner - Family

NPI 1891240644

Advanced Practice Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location March 26, 2026

Registered at 1132 COOPER ST, DEPTFORD, NJ 080963014 (Tel: 8568488060)

NPI Profile Active January 29, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location January 29, 2026

Registered at 3141 CHESTNUT ST, PHILADELPHIA, PA 191042816 (Tel: 2158952000)

📍
Updated Business Mailing Address January 29, 2026

Registered at PO BOX 22, LEDERACH, PA 194500022

👤
Provider Name / Credentials Updated January 29, 2026

Recorded as LOGAN LONG, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 29, 2026

Physician Assistant

🟢
Initial NPI Registration & Enumeration January 29, 2026

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1245180306
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 29, 2026
Last Update: March 26, 2026
Sole Proprietor: No

Mailing Address

Po Box 22

Lederach, PA 194500022

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.