Active NPI
Erik Edward Langenau, DO
- Pediatrics Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- OS014569
- Practice address
- 4148 Lancaster Ave
Philadelphia, PA 19104-1727 - Phone
- (215) 662-0119
- Fax
- (215) 662-5339
- NPI assigned
- Sep 13, 2005
- Last updated
- Jan 27, 2016
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | OS014569 | PA | Primary |
Addresses
Primary practice location
4148 Lancaster Ave
Philadelphia, PA 19104-1727
Mailing address
4148 Lancaster Ave
Philadelphia, PA 19104-1727
Phone (215) 662-0119
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LE3073 | Other | NY | ATLANTIS HEALTH PLAN |
| 159350201 | Other | NY | HEALTH PLUS |
| 26N2812 | Other | NY | NEIGHBORHOOD HEALTH |
| 02405329 | Medicaid | NY | |
| 2324834 05 | Other | NY | UNITED HEALTH CARE |
| 7215464 | Other | NY | AETNA PPO |
| 223073-A15 | Other | NY | HEALTH FIRST |
| P2913179 | Other | NY | OXFORD HEALTH PLAN |
| 0101236-02 | Other | NY | AMERICHOICE |
| 11-3491197 | Other | NY | HORIZON HEALTHCARE NY |
| 3235937 | Other | NY | AETNA USHC HMO |
| 3C4213 | Other | NY | HEALTH NET |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Philadelphia College of Osteopathic Medicine | Pediatrics | Current | Accepting new patients |
| MMC Pediatrics Faculty Practice | Pediatrics | Past | Accepting new patients |
| Philadelphia College of Osteopathic Medicine | Past | Accepting new patients | |
| Maimonides Medical Center - MMC Emergency Physicians FPP | Past | Accepting new patients |
Locations
2100 W Cambria St
Philadelphia, PA 19132
Phone (215) 226-2000
4148 Lancaster Ave
Philadelphia, PA 19104
Phone (215) 662-0119
4190 City Line Ave
Ste 777
Philadelphia, PA 19131
Phone (215) 871-6380
Interoperability endpoints
- erik.langenau@direct.pcom.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Philadelphia, PA
- NPI 1881635704
Pediatrics
-
- Clinical Psychologist
- Philadelphia, PA
- NPI 1316230220
-
- Emergency Medicine Physician
- Brooklyn, NY
- NPI 1982708202
-
- Pediatrics Physician
- Brooklyn, NY
- NPI 1285648154
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453852800000",
"number": "1558356899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4148 LANCASTER AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191041727",
"telephone_number": "215-662-0119",
"fax_number": "215-662-5339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4148 LANCASTER AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191041727",
"telephone_number": "215-662-0119",
"fax_number": "215-662-5339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANGENAU",
"first_name": "ERIK",
"middle_name": "EDWARD",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-13",
"last_updated": "2016-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "OS014569",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ATLANTIS HEALTH PLAN",
"identifier": "LE3073",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PLUS",
"identifier": "159350201",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH",
"identifier": "26N2812",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02405329",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "2324834 05",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "7215464",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH FIRST",
"identifier": "223073-A15",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTH PLAN",
"identifier": "P2913179",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE",
"identifier": "0101236-02",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON HEALTHCARE NY",
"identifier": "11-3491197",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA USHC HMO",
"identifier": "3235937",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "3C4213",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2016; 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.