NAOMI LANGE (NPI# 1740833557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740833557 |
| Entity Type | Individual |
| Full Name | NAOMI LANGE |
| Practice Address |
117 Jayne Ave Patchogue NY 11772-2834 |
| Practice Telephone | 6312751627 |
| Mailing Telephone | 6312751627 |
| Enumeration Date | 2019-07-20 |
| Last Update Date | 2019-07-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588908032 | Naomi Lee Ann Lange | Occupational Therapist | 3235 Williams Pkwy Sw Ste 1, Cedar Rapids, IA 52404-1427 | 2012-11-23 |
| Street Address |
117 JAYNE AVE |
| City | PATCHOGUE |
| State | NY |
| Zip Code | 11772-2834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205447224 | Amita Vipul Patel | Nurse Practitioner | Longlsland Community Hospital, 101 Hospital Rd, Patchogue, NY 11772 | 2020-08-13 |
| 1609491968 | Sanjib Dey | Family Medicine | Brookhaven Nephrology Associates, 260 E. Patchogue-yaphank Rd., Patchogue, NY 11772 | 2020-06-12 |
| 1992297204 | Camila Bueno-sanchez | Student in an Organized Health Care Education/Training Program | 676 S Country Rd, East Patchogue, NY 11772 | 2018-06-01 |
| 1184115859 | Premier Endodontics of Patchogue | Dentist | 44 Medford Avenue, Patchogue, NY 11772 | 2018-05-29 |
| 1801386453 | Franklin Ikechukwu Ugbode | Student in an Organized Health Care Education/Training Program | 100 Hospital Road Suite 201, Patchogue, NY 11772 | 2018-05-18 |
| 1508372335 | Stephanie Vanschaick | Counselor | 450 Waverly Ave Ste 11, Patchogue, NY 11772 | 2017-12-15 |
| 1578074498 | Chrystal Lee Curran | Specialist | 1116 Main Road, Aquebogue, NY 11772 | 2017-10-18 |
| 1013457712 | Candyce Fahner | Registered Nurse | 22 Haig Ave, E Patchogue, NY 11772 | 2017-02-28 |
| 1992251631 | Vanessa Lynn Petoello | Nurse Practitioner | 107 N/ Ocean Ave, Suite G, Patchogue, NY 11772 | 2016-09-01 |
| 1811343809 | Andrew Vanderlofske | Nurse Practitioner | 144 North Ocean Avenue, Patchogue, NY 11772 | 2016-05-09 |
| Find all providers in zip 11772 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124291083 | Joann T Spinnato | Physician Assistant | 101 Gillette Ave, Patchogue, NY 11772-2514 | 2008-04-10 |
| 1396220646 | Shayna L Berretta | Physician Assistant | 200 E Main St, Patchogue, NY 11772-3159 | 2018-10-02 |
| 1366937526 | Bryant M Williams | Physician Assistant | 101 Hospital Rd, Patchogue, NY 11772-4897 | 2018-06-28 |
| 1063955474 | Gianna Flora | Physician Assistant | 200 E Main St, Patchogue, NY 11772-3159 | 2016-12-02 |
| 1205255080 | Kamini Mohan | Physician Assistant | 155 E Woodside Ave, Patchogue, NY 11772-1423 | 2014-04-09 |
| 1285988642 | Allison P Boyle | Physician Assistant | 107 N Ocean Ave, Patchogue, NY 11772-2012 | 2012-11-06 |
| 1821387937 | Elizabeth Anne Westendorf | Physician Assistant | 130 Medford Ave, Patchogue, NY 11772-1206 | 2011-03-30 |
| 1558670463 | Sam M Fassnacht | Physician Assistant | 130 Medford Ave, Patchogue, NY 11772-1206 | 2010-09-27 |
| 1003127622 | Joanna Tutrone | Physician Assistant | 155 E Woodside Ave, Patchogue, NY 11772-1423 | 2010-06-29 |
| 1801041835 | Laura Elizabeth Gil | Physician Assistant | 130 Medford Ave, Patchogue, NY 11772-1206 | 2008-11-18 |
| Find all providers in PATCHOGUE | ||||
Please comment or provide details below to improve the information on NAOMI LANGE.
| 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.