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MS. LAURA F VAN DE LAAR NPP
NPI 1497999882
Nurse Practitioner - Psychiatric/Mental Health in Newburgh, NY

Active since April 29, 2009Opted out of Medicare · through Dec 8, 2027
34 NORTH PLANK ROAD, SUITE R-2, NEWBURGH, NY 12550(845) 562-0168(845) 562-0169 Get Directions Write a Review

NPPES record last updated: February 19, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Laura F Van De Laar Npp NPPES

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

MS. LAURA F VAN DE LAAR NPP (NPI 1497999882) is an individual psychiatric/mental health provider in Newburgh, New York, licensed in New York (401205) and active in the NPI registry since April 2009. She has opted out of Medicare through December 8, 2027.

NPPES Registry Identity

NPI1497999882
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMS. LAURA F VAN DE LAARCredential: NPP
Location Address34 NORTH PLANK ROAD, SUITE R-2Newburgh, NY 12550
Mailing Address34 N Plank Rd, Suite R-2Newburgh, NY 12550-2116 · (845) 562-0168 · Fax (845) 562-0169
Phone(845) 562-0168
Fax(845) 562-0169
Sole ProprietorYes
Enumeration DateApril 29, 2009
Last NPPES UpdateFebruary 19, 2019
✔ NPI 1497999882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · 401205
34 NORTH PLANK ROAD, Newburgh, NY 12550
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Other Identifiers 1

Medicaid00542503NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Laura F Van De Laar Npp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 8, 2021 through December 8, 2027.

Opt-Out Effective DateDecember 8, 2021
Opt-Out In Effect ThroughDecember 8, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Laura Van De Laar's NPI number?

The NPI number for Laura Van De Laar is 1497999882. It was assigned to this individual provider in the NPPES registry on April 29, 2009.

Where is Laura Van De Laar located?

Laura Van De Laar practices at 34 North Plank Road Suite R-2, Newburgh, NY 12550. The listed phone number is (845) 562-0168.

What is Laura Van De Laar's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Laura Van De Laar enrolled in Medicare?

No. Laura Van De Laar has opted out of Medicare through December 8, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Laura Van De Laar was last updated on February 19, 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.