Organization Active NPI

Paul B Lang MD PC

  • Allergy & Immunology Physician
  • New Hyde Park, NY
National Provider Identifier
1073503249
Registry record updated Jan 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
Legal business name
PAUL B LANG MD PC
Practice address
1 Hollow LN
Suite 110
New Hyde Park, NY 11042-1215
Phone
(516) 365-6666
Fax
(516) 365-2183
NPI assigned
Oct 27, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2013

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

Authorized official

Name
Dr. Paul Bruce Lang, M.D.NPI 1780679001
Title
Officer
Phone
(516) 365-6666

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X Primary

Addresses

Primary practice location

1 Hollow LN
Suite 110
New Hyde Park, NY 11042-1215

Mailing address

1 Hollow LN
Suite 110
New Hyde Park, NY 11042-1215
Phone (516) 365-6666

Other names 1

  • North Shore Allergy & Asthma Institute Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051109000135 NY Part B Supplier - Clinic/Group Practice 0143248070 Receives reassigned benefits from 4 practitioners
Practice locations: Bellmore, NY; New Hyde Park, NY; Huntington, NY

National Provider Directory

National Provider Directory

Locations

2631 Merrick Rd
Ste 401
Bellmore, NY 11710
Phone (516) 409-2098

32 Village Sq
Glen Cove, NY 11542
Phone (516) 676-1111

775 Park Ave
Ste 140
Huntington, NY 11743
Phone (516) 524-1675

775 Park Ave
Ste 125
Huntington, NY 11743
Phone (631) 271-2222

100 Manetto Hill Rd
Ste 303
Plainview, NY 11803
Phone (516) 933-3333

1670 Old Country Rd
Ste 120
Plainview, NY 11803
Phone (516) 933-3333

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357257600000",
    "number": "1073503249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HOLLOW LN",
            "address_2": "SUITE 110",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421215",
            "telephone_number": "516-365-6666",
            "fax_number": "516-365-2183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOLLOW LN",
            "address_2": "SUITE 110",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421215",
            "telephone_number": "516-365-6666",
            "fax_number": "516-365-2183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL B LANG MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-27",
        "last_updated": "2013-01-04",
        "status": "A",
        "authorized_official_last_name": "LANG",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "516-365-6666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Shore Allergy & Asthma Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Hyde Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.