Individual provider Active NPI

Donte L Lang, CRNA

  • Certified Registered Nurse Anesthetist
  • Newark, DE
National Provider Identifier
1003907635
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
26NJ00739400 Issued in NJ
Practice address
111 Continental Dr
Suite 313
Newark, DE 19713-4306
Phone
(302) 709-4504
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X L1-0034274 DE
Certified Registered Nurse Anesthetist 367500000X 26NJ00739400 NJ Primary

Addresses

Primary practice location

111 Continental Dr
Suite 313
Newark, DE 19713-4306

Mailing address

255 W Michigan Ave
Jackson, MI 49201-2218
Phone (517) 787-6440

Other practice location 1

175 Madison Ave Fl 1
Mount Holly, NJ 08060-2099
Phone (609) 914-6000

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address dlang78093@directvirtua.org
Direct Messaging Address dlang78093@directvirtua.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070810000170 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 1951402304 Reassigns benefits to 8 organizations
I20170905000335 NJ Practitioner - Certified Registered Nurse Anesthetist (Crna) 1951402304 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virtua Medical Group, PAGroup PAC ID 9830222397, 1,678 clinicians
Temple Faculty Practice Plan IncGroup PAC ID 0345588711, 1,325 clinicians

Practice addresses (Care Compare)

175 Madison Ave
Mount Holly, NJ 08060-2038

218 Sunset Rd
FL 5
Willingboro, NJ 08046-1110
Phone (609) 444-0359

3242 Route 206
Bordentown, NJ 08505-4517

333 Cottman Ave
Philadelphia, PA 19111-2434
Phone (215) 707-2111

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
L1-0034274DEMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Temple Faculty Practice Plan Inc CurrentSince Jun 9, 2024 Accepting new patients
Xenon Anesthesia of Pennsylvania PLLC CurrentSince Jun 1, 2020 Accepting new patients
North American Partners in Anesthesia, Pennsylvania , LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2018 Accepting new patients
Shrewsbury Ambulatory Anesthesia LLC CurrentSince Sep 13, 2023 Accepting new patients
St. Luke'S Physician Group, Inc. CurrentSince May 8, 2021 Accepting new patients
Temple Faculty Practice Plan Inc CurrentSince Jun 9, 2024 Accepting new patients
Bryn Mawr Medical Specialists Association CurrentSince Jun 1, 2021 Accepting new patients
St. Luke'S Physician Group, Inc. Current Accepting new patients
Northstar Anesthesia of Pennsylvania, LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2017 Accepting new patients
South Jersey Anesthesia and Pain Physicians PC CurrentSince May 2, 2020 Accepting new patients
Virtua Medical Group, PA CurrentSince Jun 12, 2023 Accepting new patients
Temple Faculty Practice Plan Inc Current Accepting new patients
Virtua Medical Group, PA Nurse Anesthetist, Certified Registered Current Accepting new patients
Garden State Healthcare Associates, LLC CurrentSince Aug 1, 2017 Accepting new patients
St Luke'S Physician Group Inc CurrentSince May 8, 2021 Accepting new patients
Greater Philadelphia Anesthesia Services PLLC CurrentSince Mar 11, 2021 Accepting new patients
Anesthesia Services PA Past Accepting new patients

Locations (25 of 27)

29 E 29th St
Bayonne, NJ 07002
Phone (201) 585-5000

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

2201 Chapel Ave W
Cherry Hill, NJ 08002
Phone (856) 488-6500

308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574

10 Exchange Pl
Fl 15
Jersey City, NJ 07302
Phone (201) 821-8900

111 Town Square Pl
Ste 420
Jersey City, NJ 07310
Phone (201) 258-4700

175 Madison Ave
Mount Holly, NJ 08060
Phone (609) 261-1660

175 Madison Ave
Fl 1
Mount Holly, NJ 08060
Phone (609) 914-6000

130 Gaither Dr
Ste 160
Mount Laurel, NJ 08054
Phone (609) 722-7000

655 Shrewsbury Ave
Shrewsbury, NJ 07702
Phone (732) 450-6000

218 Sunset Rd
Fl 2
Willingboro, NJ 08046
Phone (609) 444-0599

509 N Broad St
Woodbury, NJ 08096
Phone (856) 686-5396

1000 Dutch Ridge Rd
Beaver, PA 15009
Phone (724) 728-7000

825 Old Lancaster Rd
Ste 320
Bryn Mawr, PA 19010
Phone (610) 524-3800

825 Old Lancaster Rd
Ste 330
Bryn Mawr, PA 19010
Phone (484) 380-2880

225 Wilmington W Chester Pike
Chadds Ford, PA 19317
Phone (833) 728-1368

206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951

20 Community Dr
Easton, PA 18045
Phone (610) 258-1844

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

700 S Henderson Rd
Ste 335
Kng of Prussa, PA 19406
Phone (610) 337-2828

1515 Market St
Ste 1200
Philadelphia, PA 19102
Phone (215) 259-8078

4200 Monument Rd
Philadelphia, PA 19131
Phone (215) 456-6611

3509 N Broad St
Philadelphia, PA 19140
Phone (215) 707-2433

8835 Germantown Ave
Philadelphia, PA 19118
Phone (215) 248-8227

3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807

Networks

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

Interoperability endpoints

  • Direct secure messaging: dlang78093@directvirtua.org

Organizations & group practices 18

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 18

Hospital & facility affiliations 11

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1003907635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 W MICHIGAN AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012218",
            "telephone_number": "517-787-6440",
            "fax_number": "517-787-4146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 CONTINENTAL DR",
            "address_2": "SUITE 313",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197134306",
            "telephone_number": "302-709-4504"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "175 Madison Ave Fl 1",
            "address_purpose": "LOCATION",
            "city": "Mount Holly",
            "state": "NJ",
            "postal_code": "080602099",
            "country_code": "US",
            "telephone_number": "609-914-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANG",
        "first_name": "DONTE",
        "middle_name": "L",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "DE",
            "license": "L1-0034274",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NJ",
            "license": "26NJ00739400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dlang78093@directvirtua.org",
            "affiliation": "N",
            "address_1": "175 Madison Ave Fl 1",
            "city": "Mount Holly",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080602099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dlang78093@directvirtua.org",
            "affiliation": "N",
            "address_1": "218 Sunset Rd Fl 2",
            "city": "Willingboro",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080461110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.