Individual provider Active NPI

Lauren Ritzler

  • Specialist
  • Irondequoit, NY
National Provider Identifier
1093170227
Registry record updated Dec 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
1858297 Issued in NY
Practice address
2111 Hudson Ave
Irondequoit, NY 14617-4346
Phone
(585) 467-4567
NPI assigned
Dec 14, 2015
Last updated
Dec 14, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 1858297 NY Primary

Addresses

Primary practice location

2111 Hudson Ave
Irondequoit, NY 14617-4346

Mailing address

415 Marblehead Dr
Rochester, NY 14615-1137
Phone (315) 546-4627

Other names 1

  • Lauren Macholl Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1858297NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Stepping Stones Learning Center Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1450051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450051200000",
    "number": "1093170227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 MARBLEHEAD DR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146151137",
            "telephone_number": "315-546-4627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 HUDSON AVE",
            "city": "IRONDEQUOIT",
            "state": "NY",
            "postal_code": "146174346",
            "telephone_number": "585-467-4567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RITZLER",
        "first_name": "LAUREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-14",
        "last_updated": "2015-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "1858297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "MACHOLL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Irondequoit, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.