Active NPI
Stacey M Langsam, D.O.
- Pediatrics Physician
- Torrington, CT
National Provider Identifier
1053509067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 2447351
- Practice address
- 538 Litchfield St
Torrington, CT 06790-6669 - Phone
- (860) 489-5068
- Fax
- (860) 489-3725
- NPI assigned
- Oct 4, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 2447351 | NY | Primary |
Addresses
Primary practice location
538 Litchfield St
Torrington, CT 06790-6669
Mailing address
538 Litchfield St
Torrington, CT 06790-6669
Phone (860) 489-5068
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 049221 | Other | CT | STATE LICENSE |
| 244735 | Other | NY | MEDICAL LICENSE NUMBER |
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
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2447351 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Church Hill Pediatrics and Adolescents Medicine, LLC | Pediatrics | 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 and National Provider Directory roles.
-
- Pediatric Nurse Practitioner
- Newtown, CT
- NPI 1881945251
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309824000000",
"number": "1053509067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "538 LITCHFIELD ST",
"city": "TORRINGTON",
"state": "CT",
"postal_code": "067906669",
"telephone_number": "860-489-5068",
"fax_number": "860-489-3725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "538 LITCHFIELD ST",
"city": "TORRINGTON",
"state": "CT",
"postal_code": "067906669",
"telephone_number": "860-489-5068",
"fax_number": "860-489-3725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANGSAM",
"first_name": "STACEY",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-04",
"last_updated": "2011-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "2447351",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "049221",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE NUMBER",
"identifier": "244735",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Torrington, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.