NAOMI LANGE
NPI 1740833557
Physician Assistant - Medical in Patchogue, NY

Active since July 20, 2019PECOS EnrolledAccepts Medicare Assignment
117 JAYNE AVE, PATCHOGUE, NY 11772(631) 275-1627 Get Directions Write a Review

NPPES record last updated: July 20, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Naomi Lange NPPES

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

NAOMI LANGE (NPI 1740833557) is an individual medical provider in Patchogue, New York and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, is affiliated with Ns/lij Hs Southside Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1740833557
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameNAOMI LANGE
Location Address117 JAYNE AVEPatchogue, NY 11772-2834
Mailing Address117 Jayne AvePatchogue, NY 11772-2834 · (631) 275-1627
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 20, 2019
NPI 1740833557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
117 JAYNE AVE, Patchogue, NY 11772

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Naomi Lange is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9234535717
PECOS Enrollment IDI20210908003525
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ns/Lij Hs Southside Hospital

Acute Care Hospitals · Bay Shore, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330043
Location301 East Main StreetBay Shore, NY 11706 · Suffolk County
Emergency services Birthing friendly

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 Naomi Lange's NPI number?

The NPI number for Naomi Lange is 1740833557. It was assigned to this individual provider in the NPPES registry on July 20, 2019.

Where is Naomi Lange located?

Naomi Lange practices at 117 Jayne Ave, Patchogue, NY 11772. The listed phone number is (631) 275-1627.

What is Naomi Lange's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Naomi Lange enrolled in Medicare?

Yes. Naomi Lange is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Naomi Lange affiliated with any hospitals?

According to CMS data, Naomi Lange is affiliated with Ns/Lij Hs Southside Hospital.

When was this NPI record last updated?

The NPPES record for Naomi Lange was last updated on July 20, 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.