Individual provider Active NPI

Christian Johannes Amlang

  • Neurology Physician
  • New York, NY
National Provider Identifier
1992258057
Registry record updated Jul 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
310280 Issued in NY
Practice address
710 W 168TH St
New York, NY 10032-3726
Phone
(646) 426-3876
NPI assigned
Jul 25, 2016
Last updated
Jul 30, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 65137 CT
Neurology Physician 2084N0400X 310280 NY Primary

Addresses

Primary practice location

710 W 168TH St
New York, NY 10032-3726

Mailing address

710 W 168TH St
New York, NY 10032-3726

Other practice location 1

15 York St
Lci 910
New Haven, CT 06520-8018
Phone (203) 785-4085

Other practice location 2

1400 Pelham Pkwy S
Jacobi Medical Center
Bronx, NY 10461-1138
Phone (718) 918-6540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200805002437 CT Practitioner - Neurology 0840564340 Reassigns benefits to 1 organization
I20210817003469 NY Practitioner - Neurology 0840564340 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MMC Division of Neurology FPPGroup PAC ID 6103880794, 18 clinicians

Practice addresses (Care Compare)

883 65TH St
Brooklyn, NY 11220-4737
Phone (718) 283-6367

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
65137CTMDNeurology Physician
310280NYMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Faculty Practice Plan CurrentSince Dec 16, 2023 Accepting new patients
Maimonides Medical Center Current Accepting new patients
Yale University Neurology CurrentSince Jul 1, 2020 Accepting new patients
MMC Division of Neurology FPP Neurology CurrentSince Dec 16, 2023 Accepting new patients
Trustees of Columbia University in the City of New York Neurology CurrentSince May 22, 2021 Accepting new patients
Yale University CurrentSince Jul 1, 2020 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince May 22, 2021 Accepting new patients

Locations

1450 Chapel St
New Haven, CT 06511
Phone (203) 789-3151

15 York St
#910
New Haven, CT 06510
Phone (203) 785-4085

50 Division St
New Haven, CT 06511
Phone (203) 785-2140

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

20 York St
North Haven, CT 06510
Phone (203) 688-2433

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

883 65th St
Brooklyn, NY 11220
Phone (718) 283-6367

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

710 W 168th St
New York, NY 10032
Phone (212) 305-0217

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: camlang367148@direct.ynhh.org
  • Direct secure messaging: camlang3808394@nychhc.direct-ci.com
  • Direct secure messaging: christian.amlang.p1@direct.mmc.nextgenshare.com
  • Direct secure messaging: christianamlang@mai.allscriptsdirect.net
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 7

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 2

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": "1469404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627603200000",
    "number": "1992258057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 W 168TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 W 168TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323726",
            "telephone_number": "646-426-3876"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 York St",
            "address_2": "LCI 910",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "065208018",
            "country_code": "US",
            "telephone_number": "203-785-4085",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 Pelham Pkwy S",
            "address_2": "Jacobi Medical Center",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104611138",
            "country_code": "US",
            "telephone_number": "718-918-6540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMLANG",
        "first_name": "CHRISTIAN",
        "middle_name": "JOHANNES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-25",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CT",
            "license": "65137",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "310280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.