Individual provider Active NPI

Langan Phelps Robbins, D.O.

  • Diagnostic Radiology Physician
  • Agana Heights, GU
National Provider Identifier
1336373307
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
DO-0076 Issued in GU
Practice address
Naval Hospital Guam
BLDG 50 Fahrenholt
Agana Heights, GU 96910
Phone
(671) 344-9765
NPI assigned
May 6, 2009
Last updated
Apr 9, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 0102202261 VA
Diagnostic Radiology Physician 2085R0202X 62286 CT
Diagnostic Radiology Physician 2085R0202X 25MB10598900 NJ
Diagnostic Radiology Physician 2085R0202X DO-0076 GU Primary
General Practice Physician 208D00000X 0102202261 VA
General Practice Physician 208D00000X 25MB10598900 NJ

Addresses

Primary practice location

Naval Hospital Guam
BLDG 50 Fahrenholt
Agana Heights, GU 96910

Mailing address

15 Mount Tenjo Ave
Santa Rita, GU 96915-1428
Phone (671) 788-5538

Other identifiers 1

IdentifierTypeStateIssuer
H109961MedicaidGU

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, CA, NJ, VA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20190625002485 CT Practitioner - Diagnostic Radiology 9436397858 Reassigns benefits to 4 organizations
I20200319001375 CA Practitioner - Diagnostic Radiology 9436397858 Reassigns benefits to 6 organizations
I20210721002407 NJ Practitioner - Diagnostic Radiology 9436397858 Reassigns benefits to 3 organizations
I20240307001696 VA Practitioner - Diagnostic Radiology 9436397858 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2007
Medicare assignment
May accept Medicare assignment
Group practices
Rwjbh Observation Associates LLCGroup PAC ID 5193137503, 995 clinicians
Midstate Radiology Associates LLCGroup PAC ID 4880593565, 89 clinicians
Peace Health Partners, PCGroup PAC ID 6709776222, 33 clinicians

Practice addresses (Care Compare)

Chesapeake, VA 23322
Phone (732) 369-5994

100 Grand St
New Britain, CT 06052-2016
Phone (203) 949-2700

201 Lyons Ave
Newark, NJ 07112-2027
Phone (973) 926-7000

435 Lewis Ave
Meriden, CT 06451-2101
Phone (203) 949-2700

718 Teaneck Rd
Teaneck, NJ 07666-4245
Phone (201) 833-3280

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Diagnostic Imaging Services of CT, LLC Diagnostic Radiology CurrentSince May 13, 2019 Accepting new patients
Radiologic Associates of Middletown PC Diagnostic Radiology CurrentSince Jan 1, 2021 Accepting new patients
Peace Health Partners, PC Diagnostic Radiology CurrentSince May 6, 2024 Accepting new patients
Imaging Subspecialists of North Jersey, LLC Diagnostic Radiology CurrentSince Apr 1, 2024 Accepting new patients
Meriden Imaging Center, Inc. Diagnostic Radiology CurrentSince May 13, 2019 Accepting new patients
Midstate Radiology Associates, LLC Diagnostic Radiology CurrentSince May 13, 2019 Accepting new patients
Diagnostic Radiology Associates, LLC Diagnostic Radiology CurrentSince Sep 1, 2022 Accepting new patients
Rwjbh Observation Associates LLC Diagnostic Radiology CurrentSince Jan 1, 2023 Accepting new patients
Robert Wood Johnson Medical Associates CurrentSince Jan 1, 2023 Accepting new patients
Bridgeport Radiological Associates LLC Diagnostic Radiology CurrentSince Jul 17, 2023 Accepting new patients
Steward Medical Group, Inc Past Accepting new patients
Guilford Radiology LLC Diagnostic Radiology Past Accepting new patients

Locations

267 Grant St
Bridgeport, CT 06610
Phone (203) 384-3170

2800 Main St
Bridgeport, CT 06606
Phone (203) 386-0366

680 S Main St
Cheshire, CT 06410
Phone (203) 272-3595

435 Lewis Ave
Meriden, CT 06451
Phone (203) 284-1340

100 Grand St
New Britain, CT 06052
Phone (860) 224-5011

1 Towne Park Plz
Norwich, CT 06360
Phone (860) 886-1433

326 Washington St
Norwich, CT 06360
Phone (860) 701-0140

101 N Plains Rd
Wallingford, CT 06492
Phone (203) 265-0018

101 N Plains Rd
Ste 1A-1
Wallingford, CT 06492
Phone (203) 265-0018

863 N Main Street Ext
Wallingford, CT 06492
Phone (203) 269-0885

600 River Ave
Lakewood, NJ 08701
Phone (732) 363-1900

600 River Ave
Fl 3
Lakewood, NJ 08701
Phone (732) 886-4700

1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

201 Lyons Ave
#B2
Newark, NJ 07112
Phone (973) 926-7960

3 Executive Dr
Ste 400
Somerset, NJ 08873
Phone (732) 369-5949

379 Campus Dr
Fl 4
Somerset, NJ 08873
Phone (732) 507-6545

110 Rehill Ave
Somerville, NJ 08876
Phone (908) 429-5833

718 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 833-3232

1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763

Organizations & group practices 12

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

Hospital & facility affiliations 1

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": "1241568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1336373307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 MOUNT TENJO AVE",
            "city": "SANTA RITA",
            "state": "GU",
            "postal_code": "969151428",
            "telephone_number": "671-788-5538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NAVAL HOSPITAL GUAM",
            "address_2": "BLDG 50 FAHRENHOLT",
            "city": "AGANA HEIGHTS",
            "state": "GU",
            "postal_code": "96910",
            "telephone_number": "671-344-9765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBBINS",
        "first_name": "LANGAN",
        "middle_name": "PHELPS",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-06",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0102202261",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CT",
            "license": "62286",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MB10598900",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GU",
            "license": "DO-0076",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "VA",
            "license": "0102202261",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NJ",
            "license": "25MB10598900",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "H109961",
            "state": "GU"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Agana Heights, GU

Sources for this page

Verify at the official NPI Registry.