Individual provider Active NPI

Linda J. Lang, MD

  • Psychiatry Physician
  • Wall Township, NJ
National Provider Identifier
1275504748
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MA70668 Issued in NJ
Practice address
3100 Hwy 138
Suite E
Wall Township, NJ 07719-9020
Phone
(732) 280-9600
Fax
(732) 280-9601
NPI assigned
Jan 31, 2006
Last updated
May 21, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MA70668 NJ Primary

Addresses

Primary practice location

3100 Hwy 138
Suite E
Wall Township, NJ 07719-9020

Mailing address

3100 Hwy 138
Suite E
Wall Township, NJ 07719-9020
Phone (732) 280-9600

Other identifiers 1

IdentifierTypeStateIssuer
8652309MedicaidNJ

Other names 1

  • Linda J Lang Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201130000343 DC Practitioner - Psychiatry 3779646013 Reassigns benefits to 2 organizations
I20201130000488 VA Practitioner - Psychiatry 3779646013 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1701 N George Mason Dr
Arlington, VA 22205-3610
Phone (703) 717-4400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101270472VAMDInternal Medicine Physician
MA70668NJMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Hospital Center Physician Group, LLC Current Accepting new patients
Virginia Hospital Center Physician Group LLC CurrentSince Aug 19, 2024 Accepting new patients
Virginia Hospital Center Physician Group, LLC CurrentSince Aug 19, 2024 Accepting new patients
Inova Health Care Services CurrentSince Dec 7, 2020 Accepting new patients
Inova Health Care Services Psychiatry CurrentSince Dec 7, 2020 Accepting new patients
Christiana Care Health Services, Inc Past Accepting new patients
Christiana Care Health Services Inc Past Accepting new patients
Jersey Shore Psychiatric Associates, P.C. Psychiatry Past Accepting new patients

Locations

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

8505 Arlington Blvd
Ste 200
Fairfax, VA 22031
Phone (703) 698-8525

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/5c7467fb-60f9-4172-add4-57667a5dfcfa/
  • Direct secure messaging: llang124050@direct.virginiahospitalcenter.net

Organizations & group practices 8

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

Hospital & facility affiliations 1

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": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211328000000",
    "number": "1275504748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 HWY 138",
            "address_2": "SUITE E",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077199020",
            "telephone_number": "732-280-9600",
            "fax_number": "732-280-9601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 HWY 138",
            "address_2": "SUITE E",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077199020",
            "telephone_number": "732-280-9600",
            "fax_number": "732-280-9601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANG",
        "first_name": "LINDA",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-31",
        "last_updated": "2008-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "MA70668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8652309",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "LANG",
            "middle_name": "J",
            "credential": "MD, PC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Wall Township, NJ

Sources for this page

Verify at the official NPI Registry.