Individual provider Active NPI

Nicholas Langan, MD

  • Cardiovascular Disease Physician
  • Philadelphia, PA
National Provider Identifier
1316998438
Registry record updated Oct 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD043363E Issued in PA
Practice address
1 Penn Blvd
Tower Building 2ND Floor
Philadelphia, PA 19144-1476
Phone
(215) 951-8933
Fax
(215) 951-8930
NPI assigned
May 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD043363E PA Primary

Addresses

Primary practice location

1 Penn Blvd
Tower Building 2ND Floor
Philadelphia, PA 19144-1476

Mailing address

101 East Olney Ave
Ste 505
Philadelphia, PA 19120
Phone (215) 456-7000

Other identifiers 1

IdentifierTypeStateIssuer
0015390070004MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20080116000343 PA Practitioner - Cardiovascular Disease (Cardiology) 7810078839 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD043363EPAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Einstein Practice Plan Inc Cardiovascular Disease CurrentSince May 14, 2011 Accepting new patients
Einstein Practice Plan Inc CurrentSince May 14, 2011 Accepting new patients
Einstein Practice Plan Inc Current Accepting new patients
Einstein Practice Plan Inc Cardiovascular Disease Past Accepting new patients

Locations

9880 Bustleton Ave
Ste 208
Philadelphia, PA 19115
Phone (215) 667-0667

9880 Bustleton Ave
Ste 220
Philadelphia, PA 19115
Phone (215) 456-7900

9880 Bustleton Ave
Ste 2
Philadelphia, PA 19115
Phone (215) 827-1500

101 E Olney Ave
Ste 400
Philadelphia, PA 19120
Phone (215) 254-2630

1 Penn Blvd
Ste 2
Philadelphia, PA 19144
Phone (215) 951-8930

1 Penn Blvd
Bldg 2ND
Philadelphia, PA 19144
Phone (215) 951-8933

5501 Old York Rd
Ste 3
Philadelphia, PA 19141
Phone (215) 456-7180

Interoperability endpoints

  • Direct secure messaging: nicholas.langan1@direct.einstein.edu

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.

NPI Registry JSON

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

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412899200000",
    "number": "1316998438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 EAST OLNEY AVE",
            "address_2": "STE 505",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19120",
            "telephone_number": "215-456-7000",
            "fax_number": "215-254-2599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PENN BLVD",
            "address_2": "TOWER BUILDING 2ND FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191441476",
            "telephone_number": "215-951-8933",
            "fax_number": "215-951-8930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGAN",
        "first_name": "NICHOLAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-13",
        "last_updated": "2014-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD043363E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015390070004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.