Active NPI
Luis C Ang, M.D.
- Psychiatry Physician
- Bronx, NY
National Provider Identifier
1366476939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 169000
- Practice address
- 260 E 188TH St
4TH Floor
Bronx, NY 10458-5302 - Phone
- (718) 960-0444
- Fax
- (718) 933-8208
- NPI assigned
- Jul 10, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 169000 | NY | Primary |
Addresses
Primary practice location
260 E 188TH St
4TH Floor
Bronx, NY 10458-5302
Mailing address
7004 Blvd.East
9M
Guttenberg, NJ 07093-5009
Phone (201) 869-2732
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02100690 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040412000319 | NY | Practitioner - Psychiatry | 3476547720 | Practice locations: Bronx, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LMC Physician Services, PC | Psychiatry | Past | Accepting new patients |
| St. Barnabas Hospital | Past | Accepting new patients | |
| St. Barnabas Hospital | Past | Accepting new patients |
Interoperability endpoints
- lang19372@sbhny.direct-ci.net
Organizations & group practices 3
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.
-
- Dentist
- Bronx, NY
- NPI 1477228971
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1548367873
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1366476939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7004 BLVD.EAST",
"address_2": "9M",
"city": "GUTTENBERG",
"state": "NJ",
"postal_code": "070935009",
"telephone_number": "201-869-2732",
"fax_number": "201-869-2732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 E 188TH ST",
"address_2": "4TH FLOOR",
"city": "BRONX",
"state": "NY",
"postal_code": "104585302",
"telephone_number": "718-960-0444",
"fax_number": "718-933-8208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANG",
"first_name": "LUIS",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "169000",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02100690",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.