Individual provider Active NPI

Andrew Ty Ang, M.D.

  • Internal Medicine Physician
  • Hamburg, NY
National Provider Identifier
1821151580
Registry record updated Aug 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
117287 Issued in NY
Practice address
18 E Union St
Hamburg, NY 14075-5007
Phone
(716) 648-6040
Fax
(716) 648-6040
NPI assigned
Dec 17, 2006
Last updated
Aug 19, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 117287 NY Primary

Addresses

Primary practice location

18 E Union St
Hamburg, NY 14075-5007

Mailing address

18 E Union St
Hamburg, NY 14075-5007
Phone (716) 648-6040

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
I20120215000923 NY Practitioner - Internal MedicinePractitioner - Addiction Medicine 3173781481 Practice locations: Hamburg, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Addiction Medicine
Education
Other, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

18 E Union St
Hamburg, NY 14075-5099
Phone (716) 648-6040

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
117287NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1166313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282176000000",
    "number": "1821151580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 E UNION ST",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140755007",
            "telephone_number": "716-648-6040",
            "fax_number": "716-648-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 E UNION ST",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140755007",
            "telephone_number": "716-648-6040",
            "fax_number": "716-648-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANG",
        "first_name": "ANDREW",
        "middle_name": "TY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-17",
        "last_updated": "2010-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "117287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamburg, NY

Sources for this page

Verify at the official NPI Registry.