Individual provider Active NPI

Ronald Langman, DO

  • Family Medicine Physician
  • Glendale, NY
National Provider Identifier
1467450452
Registry record updated Nov 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
193881 Issued in NY
Practice address
74-01 Myrtle Ave
Glendale, NY 11385-7467
Phone
(718) 821-5500
Fax
(718) 456-0778
NPI assigned
Jul 13, 2005
Last updated
Nov 2, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 193881 NY Primary

Addresses

Primary practice location

74-01 Myrtle Ave
Glendale, NY 11385-7467

Mailing address

74-01 Myrtle Ave
Glendale, NY 11385-7467
Phone (718) 821-5500

Other identifiers 1

IdentifierTypeStateIssuer
1579304MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
193881NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Glendale Medical Associates PC Family Medicine Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193961600000",
    "number": "1467450452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74-01 MYRTLE AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857467",
            "telephone_number": "718-821-5500",
            "fax_number": "718-456-0778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74-01 MYRTLE AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857467",
            "telephone_number": "718-821-5500",
            "fax_number": "718-456-0778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGMAN",
        "first_name": "RONALD",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2007-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "193881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1579304",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.