Individual provider Active NPI

Erik Edward Langenau, DO

  • Pediatrics Physician
  • Philadelphia, PA
National Provider Identifier
1558356899
Registry record updated Jan 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
OS014569 Issued in PA
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, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
LE3073OtherNYATLANTIS HEALTH PLAN
159350201OtherNYHEALTH PLUS
26N2812OtherNYNEIGHBORHOOD HEALTH
02405329MedicaidNY
2324834 05OtherNYUNITED HEALTH CARE
7215464OtherNYAETNA PPO
223073-A15OtherNYHEALTH FIRST
P2913179OtherNYOXFORD HEALTH PLAN
0101236-02OtherNYAMERICHOICE
11-3491197OtherNYHORIZON HEALTHCARE NY
3235937OtherNYAETNA USHC HMO
3C4213OtherNYHEALTH 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130723000640 PA Practitioner - Pediatric Medicine 6608862099 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Philadelphia College of Osteopathic Medicine Pediatrics CurrentSince Aug 12, 2013 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

  • Direct secure messaging: erik.langenau@direct.pcom.nextgenshare.com
  • FHIR API: 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.

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

Verify at the official NPI Registry.