PROF. MARY LANG NP NPI 1588680847

NPI Information

  • NPI: 1588680847
  • Provider Name: PROF. MARY LANG, NP
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2665 RIDGEWAY AVE
    SUITE 460
    ROCHESTER, NY
    ZIP 14626
  • Phone: (585) 581-6790

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NPI Details

PROF. Mary Lang, NP is an adult health nurse practitioner in Rochester, NY. PROF. Mary Lang, NP NPI is 1588680847. 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:

2665 RIDGEWAY AVE
SUITE 460
ROCHESTER, NY
ZIP 14626
Phone: (585) 581-6790
Fax: (585) 581-6793

The NPI 1588680847 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 7/13/2006 and was last updated on 6/15/2016.

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
1363LA2200XNurse PractitionerAdult HealthF301226NEW 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
103299992MEDICAIDNEW YORK
2J400039273/GRPBA0017MEDICARE PINNEW YORK
3J400039293/GRP70008AMEDICARE PINNEW YORK

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

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