MEDICARE: ERIK EDWARD LANGENAU DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	OS014569	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	159350201	OTHER	NY	HEALTH PLUS
2	LE3073	OTHER	NY	ATLANTIS HEALTH PLAN
3	0101236-02	OTHER	NY	AMERICHOICE
4	3C4213	OTHER	NY	HEALTH NET
5	11-3491197	OTHER	NY	HORIZON HEALTHCARE NY
6	26N2812	OTHER	NY	NEIGHBORHOOD HEALTH
7	3235937	OTHER	NY	AETNA USHC HMO
8	7215464	OTHER	NY	AETNA PPO
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	223073-A15	OTHER	NY	HEALTH FIRST
11	2324834 05	OTHER	NY	UNITED HEALTH CARE
12	P2913179	OTHER	NY	OXFORD HEALTH PLAN

General Provider Information

NPI Number	:	1558356899
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIK EDWARD LANGENAU DO

Provider Business Mailing Address
First Line	:	4148 LANCASTER AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19104-1727
Country	:	US
Telephone Number	:	215-662-0119
Fax Number	:	215-662-5339

Provider Business Practice Location Address
First Line	:	4148 LANCASTER AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19104-1727
Country	:	US
Telephone Number	:	215-662-0119
Fax Number	:	215-662-5339

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/13/2005
Last Update Date	:	01/27/2016

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Directions to “ ERIK EDWARD LANGENAU DO” Practice Location

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