Individual provider Active NPI

Joanna L. Lance, N.P.

  • Adult Health Nurse Practitioner
  • Hillsborough, NJ
National Provider Identifier
1750548947
Registry record updated Jan 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
SP014088 Issued in PA
Practice address
105 Raider Blvd Ste 101
Hillsborough, NJ 08844-1528
Phone
(908) 281-0221
NPI assigned
May 16, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X SP014088 PA Primary

Addresses

Primary practice location

105 Raider Blvd Ste 101
Hillsborough, NJ 08844-1528

Mailing address

105 Raider Blvd Ste 101
Hillsborough, NJ 08844-1528
Phone (908) 281-0221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA, NJ3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20110518000744 NY Practitioner - Nurse Practitioner 5799961124 Reassigns benefits to 1 organization
I20141009001186 PA Practitioner - Nurse Practitioner 5799961124 Reassigns benefits to 1 organization
I20160414000657 NJ Practitioner - Nurse Practitioner 5799961124 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rejuveinate, LLCGroup PAC ID 2264812478, 7 clinicians
Mission Medical Care PCGroup PAC ID 2365705696, 54 clinicians

Practice addresses (Care Compare)

127 Church Rd
Suite 600
Marlton, NJ 08053-9425
Phone (212) 803-3339

1428 36TH St
Suite 107
Brooklyn, NY 11218-3765
Phone (212) 803-3339

1528 Walnut St
Suite 1205
Philadelphia, PA 19102-3609
Phone (212) 809-3339

165 N Village Ave
Rockville Centre, NY 11570-3701
Phone (212) 803-3339

216 Mall Blvd
Suite 1
King of Prussia, PA 19406-2923
Phone (212) 803-3339

225 E 70TH St
Suite 1E
New York, NY 10021-5213
Phone (212) 803-3339

27 New Dorp LN
Staten Island, NY 10306-2349
Phone (212) 803-3339

28 Heights Rd
Clifton, NJ 07012-1215
Phone (443) 414-8201

49 Veronica Ave
Suite 202
Somerset, NJ 08873-6802
Phone (212) 803-3339

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mission Medical Care PC Adult Health CurrentSince Nov 28, 2023 Accepting new patients
Rejuveinate LLC CurrentSince Jan 2, 2024 Accepting new patients
Id Care LLC CurrentSince Jan 1, 2019 Accepting new patients
Infinite Medical PC CurrentSince Jun 14, 2023 Accepting new patients
Capital Health Multispecialty Group CurrentSince Apr 1, 2017 Accepting new patients
Fara Stricker Family Health Nurse Practitioner, P.C. PastSince May 14, 2023 Accepting new patients

Locations

385 Prospect Ave
Ste 101
Hackensack, NJ 07601

105 Raider Blvd
Ste 101
Hillsborough, NJ 08844
Phone (908) 281-0221

3131 Princeton Pike
Bldg 5
Lawrenceville, NJ 08648
Phone (609) 844-9661

422 Morris Ave
Ste 7
Long Branch, NJ 07740
Phone (509) 797-7493

127 Church Rd
Ste 600
Marlton, NJ 08053
Phone (856) 355-8582

101 Walnut St
Neptune City, NJ 07753
Phone (732) 774-2336

1 Capital Way
Pennington, NJ 08534
Phone (609) 303-4000

49 Veronica Ave
Ste 202
Somerset, NJ 08873
Phone (732) 246-7600

250 Skillman St
Ste 202
Brooklyn, NY 11205

165 N Village Ave
Ste 133
Rockville Ctr, NY 11570
Phone (516) 764-0879

265 Sunrise Hwy
Ste 1274
Rockville Ctr, NY 11570

1528 Walnut St
Ste 1205
Philadelphia, PA 19102
Phone (212) 809-3339

Interoperability endpoints

  • Direct secure messaging: jlance1268559@nychhc.direct-ci.com
  • Direct secure messaging: joanna.lance.1@24989.direct.athenahealth.com

Organizations & group practices 6

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": "1210896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548028800000",
    "number": "1750548947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 RAIDER BLVD STE 101",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088441528",
            "telephone_number": "908-281-0221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 RAIDER BLVD STE 101",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088441528",
            "telephone_number": "908-281-0221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANCE",
        "first_name": "JOANNA",
        "middle_name": "L.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-16",
        "last_updated": "2019-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP014088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsborough, NJ

Sources for this page

Verify at the official NPI Registry.