Individual provider Active NPI

Julia Lange-Kessler

  • Specialist
  • Nyack, NY
National Provider Identifier
1639169287
Registry record updated Sep 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
F000874 Issued in NY
Practice address
258 High Ave
Nyack, NY 10960-2407
Phone
(845) 353-1441
Fax
(845) 353-1987
NPI assigned
Oct 25, 2005
Last updated
Sep 28, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X F000874 NY Primary

Addresses

Primary practice location

258 High Ave
Nyack, NY 10960-2407

Mailing address

258 High Ave
Nyack, NY 10960-2407
Phone (845) 353-1441

Other identifiers 10

IdentifierTypeStateIssuer
000000007054210OtherNYGHI HMO #
1899849OtherNYGHI PPO #
1000022364OtherNYAFFINITY HEALTH PLAN #
4129558OtherNYMVP #
P2100246OtherNYOXFORD #
2607722OtherNYAETNA HMO #
283155OtherNYWELLCARE #
02064060MedicaidNY
M0M071OtherNYEMPIRE BCBS #
7399252OtherNYAETNA PPO #

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)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
000874NYMDRegistered Dietitian
F000874NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190937600000",
    "number": "1639169287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 HIGH AVE",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109602407",
            "telephone_number": "845-353-1441",
            "fax_number": "845-353-1987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 HIGH AVE",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109602407",
            "telephone_number": "845-353-1441",
            "fax_number": "845-353-1987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGE-KESSLER",
        "first_name": "JULIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-25",
        "last_updated": "2007-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "F000874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI HMO #",
            "identifier": "000000007054210",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PPO #",
            "identifier": "1899849",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AFFINITY HEALTH PLAN #",
            "identifier": "1000022364",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP #",
            "identifier": "4129558",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD #",
            "identifier": "P2100246",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO #",
            "identifier": "2607722",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE #",
            "identifier": "283155",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02064060",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BCBS #",
            "identifier": "M0M071",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO #",
            "identifier": "7399252",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nyack, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2007; 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.