Individual provider Active NPI

Michael Lang, NP-C, MSN, RN, OCN

  • Nurse Practitioner
  • New Milford, NJ
National Provider Identifier
1205203155
Registry record updated Aug 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ00586000 Issued in NJ
Practice address
33 Bulger Ave Apt D
New Milford, NJ 07646-1551
Phone
(201) 986-0763
NPI assigned
Aug 26, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ00586000 NJ Primary

Addresses

Primary practice location

33 Bulger Ave Apt D
New Milford, NJ 07646-1551

Mailing address

33 Bulger Ave Apt D
New Milford, NJ 07646-1551

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180205002242 NJ Practitioner - Nurse Practitioner 8820358179 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
26NJ00586000NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Cancer Care Associates LLC CurrentSince Jan 1, 2024 Accepting new patients
Regional Cancer Care Associates LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

7650 River Rd
Ste 20
North Bergen, NJ 07047

7650 River Rd
Ste 200
North Bergen, NJ 07047
Phone (201) 464-0008

500 Frank W Burr Blvd
Ste 560
Teaneck, NJ 07666

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1440547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440547200000",
    "number": "1205203155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 BULGER AVE APT D",
            "city": "NEW MILFORD",
            "state": "NJ",
            "postal_code": "076461551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 BULGER AVE APT D",
            "city": "NEW MILFORD",
            "state": "NJ",
            "postal_code": "076461551",
            "telephone_number": "201-986-0763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANG",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "NP-C, MSN, RN, OCN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-26",
        "last_updated": "2015-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00586000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Milford, NJ

Sources for this page

Verify at the official NPI Registry.