Individual provider Active NPI

Jennifer Katherine Lang, M.D.

  • Cardiovascular Disease Physician
  • Williamsville, NY
National Provider Identifier
1487897062
Registry record updated Dec 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
273713 Issued in NY
Practice address
1020 Youngs Rd
Williamsville, NY 14221-2698
Phone
(716) 961-9900
Fax
(716) 961-9911
NPI assigned
Apr 13, 2009
Last updated
Dec 18, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2015

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 273713 NY Primary

Addresses

Primary practice location

1020 Youngs Rd
Williamsville, NY 14221-2698

Mailing address

1020 Youngs Rd
Williamsville, NY 14221-2698
Phone (716) 961-9900

Other identifiers 1

IdentifierTypeStateIssuer
04155464MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150723009136 NY Practitioner - Cardiovascular Disease (Cardiology) 3678886348 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
State University of New York at Buffalo School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
General Physician PCGroup PAC ID 9537213079, 488 clinicians

Practice addresses (Care Compare)

3898 Vineyard Dr
Dunkirk, NY 14048-3559
Phone (716) 710-8266

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
General Physician, PC CurrentSince Jun 1, 2017 Accepting new patients
Kaleida Health CurrentSince Jul 1, 2015 Accepting new patients
Kaleida Health Current Accepting new patients
Kaleida Health CurrentSince Jul 1, 2015 Accepting new patients
University at Buffalo Surgeons Inc Past Accepting new patients

Locations

100 High St
Buffalo, NY 14203
Phone (716) 632-3700

100 High St
#B2
Buffalo, NY 14203
Phone (716) 859-1256

100 High St
#B3
Buffalo, NY 14203

900 Hertel Ave
Buffalo, NY 14216
Phone (716) 871-1571

462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612

3898 Vineyard Dr
Dunkirk, NY 14048
Phone (716) 363-1515

445 Tremont St
North Tonawanda, NY 14120
Phone (716) 690-2291

1020 Youngs Rd
Williamsville, NY 14221
Phone (716) 636-1600

1540 Maple Rd
Williamsville, NY 14221
Phone (716) 568-3514

Organizations & group practices 5

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 6

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": "1239580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450396800000",
    "number": "1487897062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 YOUNGS RD",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142212698",
            "telephone_number": "716-961-9900",
            "fax_number": "716-961-9911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 YOUNGS RD",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142212698",
            "telephone_number": "716-961-9900",
            "fax_number": "716-961-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANG",
        "first_name": "JENNIFER",
        "middle_name": "KATHERINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-13",
        "last_updated": "2015-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "273713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04155464",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.