Individual provider Active NPI

Jared Lang

  • Physical Therapist
  • Flemington, NJ
National Provider Identifier
1477045953
Registry record updated May 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01790600 Issued in NJ
Practice address
4 Walter E Foran Blvd Ste 203
Flemington, NJ 08822-4666
Phone
(908) 237-0000
Fax
(908) 237-0001
NPI assigned
May 31, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01790600 NJ Primary

Addresses

Primary practice location

4 Walter E Foran Blvd Ste 203
Flemington, NJ 08822-4666

Mailing address

1 Bethany Rd Ste 53
Hazlet, NJ 07730-1667
Phone (732) 264-6106

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180611000789 NJ Practitioner - Physical Therapist in Private Practice 3072868322 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Procare Rehabilitation, LLCGroup PAC ID 7214998038, 69 clinicians

Practice addresses (Care Compare)

4 Walter E Foran Blvd
Suite 203
Flemington, NJ 08822-4666
Phone (908) 237-0000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01790600NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Procare Rehabilitation, LLC Physical Therapist CurrentSince Jun 4, 2018 Accepting new patients

Locations

4 Cornwall Dr
Ste 100A
East Brunswick, NJ 08816
Phone (732) 967-1000

4 Walter E Foran Blvd
Flemington, NJ 08822
Phone 9082370000 ext. 90823

4 Walter E Foran Blvd
Ste 203
Flemington, NJ 08822
Phone (732) 340-1012

1 Bethany Rd
Ste 53
Hazlet, NJ 07730
Phone (732) 264-6106

Organizations & group practices 1

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": "1527724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527724800000",
    "number": "1477045953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BETHANY RD STE 53",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301667",
            "telephone_number": "732-264-6106",
            "fax_number": "732-335-8118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 WALTER E FORAN BLVD STE 203",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088224666",
            "telephone_number": "908-237-0000",
            "fax_number": "908-237-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANG",
        "first_name": "JARED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-31",
        "last_updated": "2018-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01790600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flemington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2018; 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.