JENNIFER LAVANGA M.D.
NPI 1073812368
Student in an Organized Health Care Education/Training Program in Geneva, NY

Q: What is Jennifer Lavanga's NPI number?

The NPI number for Jennifer Lavanga is 1073812368. It was assigned to this individual provider in the NPPES registry on March 25, 2011.

Q: What is Jennifer Lavanga's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Lavanga was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 25, 2011PECOS Enrolled

95.19/100

CMS Quality Rating

200 NORTH ST STE 101, GENEVA, NY 14456(315) 787-5100 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 11, 2025, Mar 17, 2018, Jan 8, 2018 (3 updates tracked since 2018).

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About Jennifer Lavanga M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER LAVANGA M.D. (NPI 1073812368) is an individual student in an organized health care education/training program in Geneva, New York and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS and maintains a secondary practice location in Long Branch.

NPPES Registry Identity

NPI1073812368

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameJENNIFER LAVANGACredential: M.D.

Location Address200 NORTH ST STE 101Geneva, NY 14456-1561

Mailing Address200 North St Ste 101Geneva, NY 14456-1561 · (315) 787-5100

Phone(315) 787-5100

Sole ProprietorNo

Enumeration DateMarch 25, 2011

Last NPPES UpdateSeptember 11, 20253 updates tracked since enumeration

✔ NPI 1073812368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

200 NORTH ST STE 101, Geneva, NY 14456

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Secondary Practice Location 1

Location 1300 2nd Ave, Rm 215 SWLong Branch, NJ 07740-6303 · Phone (732) 923-6795 · Fax (732) 923-6793

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Lavanga M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.19/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

70.62

Promoting Interoperability

100

Improvement Activities

Leave this field empty

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMANDA LAINE BENNETT MD

Internal Medicine (Cardiovascular Disease)