DR. JANE VAN DIS M.D. NPI 1275699266

NPI Information

  • NPI: 1275699266
  • Provider Name: DR. JANE VAN DIS, M.D.
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 601 ELMWOOD AVE DEPT OBGYN
    ROCHESTER, NY
    ZIP 14642
  • Phone: (585) 276-5368

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NPI Details

DR. Jane Van Dis, M.D. is an obstetrics gynecology in Rochester, NY with 23 years of experience. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. DR. Jane Van Dis, M.D. NPI is 1275699266. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

601 ELMWOOD AVE DEPT OBGYN
ROCHESTER, NY
ZIP 14642-437
Phone: (585) 276-5368

The NPI 1275699266 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/28/2006 and was last updated on 3/14/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & Gynecology50732MINNESOTANo
2363AM0700XPhysician AssistantMedical308289NEW YORKNo
3207V00000XObstetrics & Gynecology308289NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1A90758OTHERCALIFORNIASTATE LICENSE
2308289OTHERNEW YORKSTATTE LICENSE
350732OTHERMINNESOTASTATE LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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