Provider Demographics
NPI:1154330520
Name:HU, LONG-GUE (MD)
Entity Type:Individual
Prefix:
First Name:LONG-GUE
Middle Name:
Last Name:HU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:355 GRAND STREET
Mailing Address - Street 2:4 EAST
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07302
Mailing Address - Country:US
Mailing Address - Phone:201-915-2466
Mailing Address - Fax:201-915-2481
Practice Address - Street 1:377 JERSEY AVE
Practice Address - Street 2:SUITE 220
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07302-4393
Practice Address - Country:US
Practice Address - Phone:201-309-2380
Practice Address - Fax:201-309-2381
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2011-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA52841207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
200572OtherGHI
688579OtherAMERIHEALTH PPO
19054OtherAMERIGROUP AMERICAID
223363012OtherFAMILY CHOICE
HUL00011900OtherAMERICHOICE
010052841NJ05OtherANTHEM HEALTH INSURANCE C
223363012OtherBEECHSTREET CORPORATION M
223363012OtherDEVON HEALTH
223363012OtherGALAXY HEALTH NETWORK INC
0523241000OtherAMERIHEALTH HMO
159008OtherGREAT WEST HEALTHCARE
010052841NJ01OtherANTHEM HEALTH INSURANCE C
223363012OtherCHN CONSUMER HEALTH NETWO
4215211OtherAETNA TRADITIONAL
NJ4610202Medicaid
2216235OtherAETNA HMO
59054OtherAMERIGROUP AMERICAID
420251OtherCIGNA
59054OtherAMERIGROUP AMERICAID
NJ688579Medicare ID - Type Unspecified