Mimerose P Lang, | |
350 Engle St, Englewood, NJ 07631-1808 | |
(201) 292-1400 | |
Not Available |
Full Name | Mimerose P Lang |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 350 Engle St, Englewood, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437880648 | NPI | - | NPPES |
0998974 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 26NJ013180600 (New Jersey) | Primary |
Entity Name | Bon Secours Charity Health System Medical Group, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487694345 PECOS PAC ID: 1658262084 Enrollment ID: O20040323001971 |
Mailing Address | Practice Location Address |
---|---|
Mimerose P Lang, 712 E 27th St Apt 3a, Brooklyn, NY 11210-2217 Ph: (646) 591-9964 | Mimerose P Lang, 350 Engle St, Englewood, NJ 07631-1808 Ph: (201) 292-1400 |
Michelle May Roe, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 21 Oakland St, Englewood, NJ 07631 Phone: 917-753-8013 | |
Min Hwang, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 Grand Ave Ste 203, Englewood, NJ 07631 Phone: 201-944-3115 Fax: 866-278-0484 | |
Dr. Jaime Luis Betancourt, DNP, MPH, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 350 Engle St Bldg 5th, Englewood, NJ 07631 Phone: 201-568-5250 Fax: 201-568-5358 | |
Kristofferson M Pineda, ANP - BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 350 Engle St, Englewood, NJ 07631 Phone: 201-894-3908 | |
Miss Eun Mi Joo, RN,FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3408 Windsor Park Ct, Englewood, NJ 07631 Phone: 201-212-3559 | |
Caitlin Colleen Flynn, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 350 Engle St Fl 4, Englewood, NJ 07631 Phone: 201-568-5250 | |
Debra Tawil, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 350 Engle St, Englewood, NJ 07631 Phone: 201-894-3202 |