Individual provider Active NPI

Michele Columbus-Jang, FNP-C

  • Family Nurse Practitioner
  • Towson, MD
National Provider Identifier
1730552027
Registry record updated Jul 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
340144 Issued in NY
Practice address
7801 York Rd Ste 102
Towson, MD 21204
Phone
(410) 769-4920
NPI assigned
Nov 9, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 340144 NY Primary
General Practice Registered Nurse 163WG0000X 689181 NY

Addresses

Primary practice location

7801 York Rd Ste 102
Towson, MD 21204

Mailing address

7801 York Rd Ste 102
Towson, MD 21204-7463
Phone (410) 769-4920

Other practice location 1

7801 York Rd Ste 102
Towson, MD 21204
Phone (410) 769-4920

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160419000608 NY Practitioner - Nurse Practitioner 5597063974 Reassigns benefits to 1 organization
I20190909003843 MD Practitioner - Nurse Practitioner 5597063974 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

7801 York Rd
Suite 102
Towson, MD 21204-7447
Phone (410) 769-4920

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
689181NYMDGeneral Practice Registered Nurse
340144NYMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland St. Joseph Medical Group, LLC CurrentSince Aug 14, 2019 Accepting new patients
University of Maryland St. Joseph Medical Group, LLC CurrentSince Aug 14, 2019 Accepting new patients
Montefiore Medical Center CurrentSince Feb 11, 2016 Accepting new patients
Montefiore Medical Center CurrentSince Feb 11, 2016 Accepting new patients

Locations

7601 Osler Dr
Towson, MD 21204
Phone (410) 337-1150

7801 York Rd
Ste 102
Towson, MD 21204
Phone (410) 769-4920

111 E 210th St
Bronx, NY 10467

Interoperability endpoints

  • Direct secure messaging: mcolumbusjang642364@direct.umm.edu

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, 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": "1447027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562112000000",
    "number": "1730552027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7801 YORK RD STE 102",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047463",
            "telephone_number": "410-769-4920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7801 YORK RD STE 102",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "21204",
            "telephone_number": "410-769-4920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7801 York Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Towson",
            "state": "MD",
            "postal_code": "21204",
            "country_code": "US",
            "telephone_number": "410-769-4920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLUMBUS-JANG",
        "first_name": "MICHELE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-09",
        "last_updated": "2019-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "340144",
            "primary": true
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "NY",
            "license": "689181",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

Verify at the official NPI Registry.