DR. PETER LONG (DC) – Chiropractor, NPI 1053962555

Chiropractor

DR. PETER LONG (DC) is a healthcare provider. based in Randolph, Massachusetts. specializing in Chiropractor. They hold the professional credentials DC. They hold a License No. 3664 (MA). The NPI Number for DR. PETER LONG (DC) is 1053962555

Main info

Male

7 Years Of Experience

Accepts Medicare Assignment

Name

DR. PETER LONG (DC)

NPI

1053962555

Phone

(781) 961-3370

Address

1 CREDIT UNION WAY FL 3

Enumeration Date

25 September 2019

Last Update Date

25 September 2019

Doctor Profile

Medical School Name

OTHER

Secondary Phone

5088803223

Graduation Year

2019 (7 years ago)

PAC ID

3274864723

Group Practice PAC ID

6305744251

Professional Enrollment ID

I20191014002890

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience26

Completeness75

Years active:6State licenses:1Digital endpointsOther names

Provider Addresses for DR. PETER LONG (DC)

Credit Union Way, Randolph, Norfolk County, Massachusetts, 02368, United States
RANDOLPH, MA 023684633
Phone: (781) 961-3370
Fax: (781) 961-1291
Type: Mailing
63 WINTHROP ST STE C1-C2
TAUNTON, MA 027806218
Phone: (508) 880-3223
Fax: (508) 822-8516
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02368)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 6305744251View full group profile

Name	Specialty	State
ERIN CHENETTE (DPT)	Physical Therapist In Private Practice	MA
RACHEL WADKINS (DPT)	-	MA
LINDA REAM (DPT)	-	MA
TENZIN CHOEPHEL (DPT)	-	MA
LAUREN RUFF (PT)	-	MA
DR. ANGELICA JOYCE CASTANEDA (DPT)	Physical Therapist In Private Practice	LA
DAVID SMITH (DC)	-	MA
DR. ALBERT A COUILLARD (D.C, B.S)	-	MA
MEGAN SEYMOUR (DPT)	Physical Therapist In Private Practice	MA
MS. CANDICE NICHOLE REID (PT)	Physical Therapist In Private Practice	MA