Individual provider Active NPI

Jesus Angel Lago, MD

  • Psychiatry Physician
  • Rye Brook, NY
National Provider Identifier
1013029396
Registry record updated Apr 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
182355 Issued in NY
Practice address
558 Westchester Ave
Rye Brook, NY 10573-2815
Phone
(914) 882-6890
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 182355 NY Primary

Addresses

Primary practice location

558 Westchester Ave
Rye Brook, NY 10573-2815

Mailing address

1 Cypress Point Dr
Purchase, NY 10577-1503
Phone (914) 882-6890

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040311001354 NY Practitioner - PsychiatryPractitioner - General SurgeryPractitioner - Addiction Medicine 5799699666 Reassigns benefits to 2 organizations
Practice locations: Purchase, NY; White Plains, NY; Portchester, NY

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Addiction Medicine
Education
Other, 1987
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Family Services of Westchester, Inc.Group PAC ID 1153216049, 13 clinicians

Practice addresses (Care Compare)

1 Gateway PLZ
Suite 301
Port Chester, NY 10573-4674
Phone (914) 241-2241

Merit-based Incentive Payment System (MIPS)

Final score
22.16 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
73.86

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Family Services of Westchester, Inc. CurrentSince Jan 1, 2015 Accepting new patients

Locations

1 Gateway Plz
Ste 301
Port Chester, NY 10573
Phone (914) 241-2241

2975 Westchester Ave
Ste 401
Purchase, NY 10577
Phone (914) 948-8004

Interoperability endpoints

  • Direct secure messaging: jesus@direct.fsw.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/EAJCAA/Endpoint/EAJCAA

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207267200000",
    "number": "1013029396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CYPRESS POINT DR",
            "city": "PURCHASE",
            "state": "NY",
            "postal_code": "105771503",
            "telephone_number": "914-882-6890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "558 WESTCHESTER AVE",
            "city": "RYE BROOK",
            "state": "NY",
            "postal_code": "105732815",
            "telephone_number": "914-882-6890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAGO",
        "first_name": "JESUS",
        "middle_name": "ANGEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "182355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rye Brook, NY

Sources for this page

Verify at the official NPI Registry.