| 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 |
| Entity Name | Essen Medical Associates, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366418709 PECOS PAC ID: 1759353501 Enrollment ID: O20040811000885 |
| Entity Name | House Call Medical Services Of New York Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851345946 PECOS PAC ID: 2264517754 Enrollment ID: O20080307000427 |
| Entity Name | Bronx Medical Practice Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356726087 PECOS PAC ID: 9739496100 Enrollment ID: O20150917000004 |
| Entity Name | Shakespeare Operating Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720634538 PECOS PAC ID: 0840604310 Enrollment ID: O20210123000014 |
| 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 | |
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 | |
Boram Song, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 Grand Ave Ste 201, Englewood, NJ 07631 Phone: 201-944-3800 Fax: 201-944-3804 |