NPIMap

Individual provider Active NPI

Jessica Lang-CHI Au, MD

  • Physical Medicine & Rehabilitation Physician
  • New York City, NY
National Provider Identifier
1285878249
Registry record updated Aug 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
269781 Issued in NY
Practice address
39 West 29TH Street
11TH Floor
New York City, NY 10001
Phone
(646) 770-0916
Fax
(646) 797-4628
NPI assigned
Apr 21, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 201012-01011 NC
Physical Medicine & Rehabilitation Physician 208100000X 269781-1 NY
Physical Medicine & Rehabilitation Physician 208100000X 269781 NY Primary

Addresses

Primary practice location

39 West 29TH Street
11TH Floor
New York City, NY 10001

Mailing address

39 West 29TH Street
11TH Floor
New York City, NY 10001
Phone (646) 770-0916

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131204001224 NY Practitioner - Physical Medicine and RehabilitationPractitioner - Interventional Pain ManagementPractitioner - Pain Management 9133385073 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Pain Management
Education
Icahn School of Medicine at Mount Sinai, 2008
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

363 7TH Ave
FL 18
New York, NY 10001-3904
Phone (718) 887-8617

Hospital & facility affiliations

  • NYU Langone Hospitals Hospital, New York, NY, CCN 330214

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201012-01011NCMDPhysical Medicine & Rehabilitation Physician
269781-1NYMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physiologic Chiropractic & Physical Therapy, PLLC. CurrentSince Aug 10, 2015 Accepting new patients
Jessica Au MD PLLC Physical Medicine & Rehabilitation CurrentSince Mar 1, 2018 Accepting new patients
Orthopaedic Specialists of the Carolinas, P.a. Past Accepting new patients

Locations

409 Fulton St
#2
Brooklyn, NY 11201
Phone (718) 260-1000

363 7th Ave
Fl 18
New York, NY 10001
Phone (212) 484-2636

39 W 29th St
Fl 11
New York, NY 10001
Phone (212) 210-6237

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Organizations & group practices 4

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1240272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533168000000",
    "number": "1285878249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 WEST 29TH STREET",
            "address_2": "11TH FLOOR",
            "city": "NEW YORK CITY",
            "state": "NY",
            "postal_code": "10001",
            "telephone_number": "646-770-0916",
            "fax_number": "646-797-4628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 WEST 29TH STREET",
            "address_2": "11TH FLOOR",
            "city": "NEW YORK CITY",
            "state": "NY",
            "postal_code": "10001",
            "telephone_number": "646-770-0916",
            "fax_number": "646-797-4628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AU",
        "first_name": "JESSICA",
        "middle_name": "LANG-CHI",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-21",
        "last_updated": "2018-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NC",
            "license": "201012-01011",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "269781-1",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "269781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York City, NY

Sources for this page

Verify at the official NPI Registry.