MS. CATHERINE G LANGE (NPI# 1497879779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497879779 |
| Entity Type | Individual |
| Full Name | MS. CATHERINE G LANGE |
| Credential | PA |
| Practice Address |
12510 Queens Blvd Kew Gardens NY 11415-1519 |
| Mailing Address |
4031 157th St Flushing NY 11354-5045 |
| Practice Telephone | 7182610444 |
| Mailing Telephone | 7184451673 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2010-08-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 005641 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
12510 QUEENS BLVD |
| City | KEW GARDENS |
| State | NY |
| Zip Code | 11415-1519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194721043 | Marian David, Md, PC | Specialist | 12510 Queens Blvd, Suite 2701, Kew Gardens, NY 11415-1519 | 2005-06-24 |
| 1396262556 | Natalie Yael Abraham | Physician Assistant | 12510 Queens Blvd, Kew Gardens, NY 11415-1519 | 2017-08-28 |
| 1659897973 | Evangelia Pagiazitis | Physician Assistant | 12510 Queens Blvd, Kew Gardens, NY 11415-1519 | 2017-08-17 |
| 1184025785 | Achieved Occupational Therapy Assistant Care, Pllc | Early Intervention Provider Agency | 12510 Queens Blvd, Unit #9a, Kew Gardens, NY 11415-1519 | 2014-09-15 |
| 1366735763 | Peter R Niyazov | Pharmacist | 12510 Queens Blvd, Kew Gardens, NY 11415-1519 | 2011-05-18 |
| 1003049594 | Carrie A. Palmer, LLC | Ophthalmology | 12510 Queens Blvd, Ste. 911, Kew Gardens, NY 11415-1519 | 2009-08-31 |
| 1952549800 | Salim Baghdadi | Specialist | 12510 Queens Blvd, Suite 2701, Kew Gardens, NY 11415-1519 | 2009-01-30 |
| 1104072586 | Olga A Burzyantseva | Specialist | 12510 Queens Blvd, Ste 2701, Kew Gardens, NY 11415-1519 | 2008-08-17 |
| 1447419726 | Raul Luis Vilca | Internal Medicine | 12510 Queens Blvd, Kew Gardens, NY 11415-1519 | 2008-06-03 |
| 1306016969 | Chaim Meir Moeller | Specialist | 12510 Queens Blvd, Ste 2701, Kew Gardens, NY 11415-1519 | 2008-03-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700492519 | Si Physical Therapy | Clinic/Center | 119-60 Metropolitan Ave, Kew Gardens, NY 11415 | 2020-09-17 |
| 1760036073 | Alina Alayev | Nurse Practitioner | 123-60 83rd Ave 11d, Kew Gardens, NY 11415 | 2019-07-25 |
| 1659860435 | Karolina Pinkhasova | Developmental Therapist | 11917 83rd Ave, Kew Gardens, NY 11415 | 2018-05-07 |
| 1508395989 | Hiral Patel | Physician Assistant | 125-10 Queens Blvd, Suite 2701, Kew Gardens, NY 11415 | 2017-06-08 |
| 1912432147 | Jessica Stefanie Minsky | Speech-Language Pathologist | 82-34 Kew Gardens Rd, Kew Gardens, NY 11415 | 2017-04-25 |
| 1629426697 | Muhammad Usman | Physical Therapist | 8526 126th St Fl 2, Kew Gardens, NY 11415 | 2016-05-31 |
| 1598126260 | Chinonye Benjamin | Licensed Practical Nurse | 85-35 Leffert Blvd, Kew Gardens, Queens, NY 11415 | 2016-03-09 |
| 1730559105 | Mohamed Abaza | Physical Therapist | 119-05 80th Road, Kew Gardens, NY 11415 | 2015-09-29 |
| 1457737306 | Noelle Elizabeth Lenti-nightengale | Registered Nurse | 124-16 85 Avenue, Kew Gardens, NY 11415 | 2015-08-03 |
| 1871996983 | Zinovia Ioannou | Dental Hygienist | 121-56 Metropolitan Ave, Kew Gardens, NY 11415 | 2014-10-02 |
| Find all providers in zip 11415 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417573387 | Phapia Akter | Physician Assistant | 12510 Queens Blvd Ste 2701, Kew Gardens, NY 11415-1511 | 2020-06-17 |
| 1740814078 | Wen Yin | Physician Assistant | 12010 85th Ave Apt 4h, Kew Gardens, NY 11415-3215 | 2020-02-25 |
| 1497390108 | Rachel Bruckstein | Physician Assistant | 8519 Abingdon Rd, Kew Gardens, NY 11415-2701 | 2019-11-18 |
| 1700432366 | Beata A Terzian | Physician Assistant | 11920 Union Tpke Apt E3a2, Kew Gardens, NY 11415-1130 | 2019-08-09 |
| 1881108991 | Atara Minster | Physician Assistant | 8315 Lefferts Blvd Apt 2k, Kew Gardens, NY 11415-2539 | 2017-11-28 |
| 1851816730 | Batya Simon | Physician Assistant | 8315 Lefferts Blvd Apt 4l, Kew Gardens, NY 11415-2541 | 2017-08-11 |
| 1801105465 | Jones A Addoh | Physician Assistant | 8375 117th St 6b, Kew Gardens, NY 11418 | 2010-09-30 |
| 1184864225 | Matthew Weintraub | Physician Assistant | 120-32 83rd Ave, Apt 2a, Kew Gardens, NY 11415-1355 | 2009-03-03 |
| 1922148493 | Rafael Avezbakiyev | Physician Assistant | 12219 Metropolitan Ave, Kew Gardens, NY 11415-2708 | 2007-02-07 |
| 1811478167 | Doris Shamuilova | Physician Assistant | 8515 126th St, Kew Gardens, NY 11415-3312 | 2018-08-24 |
| Find all providers in KEW GARDENS | ||||
| City | KEW GARDENS |
| Zip Code | 11415 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.