JOAN LISANNE LANGE MD
NPI 1487677126
Pediatrics in New Hyde Park, NY
About Joan Lisanne Lange Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOAN LISANNE LANGE MD (NPI 1487677126) is an individual pediatrics provider in New Hyde Park, New York, licensed in New York (206510) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Joan Lisanne Lange Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Joan Lisanne Lange reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Jericho, NY 11753
- Reassigned Medicare billing, New York enrollment
- 413 clinicians in this Medicare group
Mount Kisco, NY 10549
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Optum Medical Care PC
- 1,601 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11042 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW HYDE PARK, NY 11042
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Joan Lisanne Lange's NPI number?
The NPI number for Joan Lisanne Lange is 1487677126. It was assigned to this individual provider in the NPPES registry on July 25, 2006.
Where is Joan Lisanne Lange located?
Joan Lisanne Lange practices at 1 Dakota Dr Ste 100, New Hyde Park, NY 11042. The listed phone number is (516) 622-7337.
What is Joan Lisanne Lange's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Joan Lisanne Lange enrolled in Medicare?
Yes. Joan Lisanne Lange is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Joan Lisanne Lange's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Joan Lisanne Lange reassigns Medicare benefits to 2 organizations: Optum Urgent Care, PLLC (Jericho, NY) and Optum Medical Care, P.C. (Mount Kisco, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Joan Lisanne Lange's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Joan Lisanne Lange was last updated on May 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Joan Lisanne Lange, MD · NPI 1487677126
Pediatrics physician in New Hyde Park, New York. Individual provider, active in the CMS NPPES registry since July 25, 2006.
## Identity
- **NPI:** 1487677126 (Entity type: Individual)
- **Enumerated:** July 25, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 206510 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 DAKOTA DR, STE 100, New Hyde Park, NY 11042
- **Phone:** (516) 622-7337 · **Fax:** (516) 622-7331
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Optum Urgent Care, PLLC (NPI 1285975797, Jericho, NY); Optum Medical Care, P.C. (NPI 1982643003, Mount Kisco, NY) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 8, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1487677126) · Data from the CMS NPPES public registry.