Michele Lanza, APN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

26NN09671500 Issued in NJ

Practice address

190 N Evergreen Ave Ste 102
Woodbury, NJ 08096-1862

Phone

(856) 845-8010

NPI assigned

Oct 5, 2006

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Alliance for Better Care, P.C.

  • Family Medicine Physician
  • Medford, NJ
  • NPI 1740352459
  NPD (past)
• Kennedy Medical Group Practice, P.C.

  dba Jefferson Health

  • Family Medicine Physician
  • Voorhees, NJ
  • NPI 1952726796
  NPD (past)
• Kenneth V. Master, M.D., P.C.

  • Geriatric Psychiatry Physician
  • Haddon Heights, NJ
  • NPI 1770500563
  NPD (past)
• Lourdes Medical Associates PA

  • Family Medicine Physician
  • Haddon Heights, NJ
  • NPI 1568441541
  NPD (past)
• Virtua Medical Group, PA

  • Family Medicine Physician
  • Marlton, NJ
  • NPI 1649226515
  NPD (past)

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1871680603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 N EVERGREEN AVE STE 102",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080961862",
            "telephone_number": "844-542-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 N EVERGREEN AVE STE 102",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080961862",
            "telephone_number": "856-845-8010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "728 Marne Hwy",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Moorestown",
            "state": "NJ",
            "postal_code": "080573128",
            "country_code": "US",
            "telephone_number": "856-235-6600",
            "fax_number": "856-235-6610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANZA",
        "first_name": "MICHELE",
        "name_prefix": "Ms.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NN09671500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8259801",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Makbulmian Kureshi, DO
• Sharonda Kyles
• Nicole Lamarra Smith, LPC
• Lan Deptford, LLC (Fox Trail at Tall Pines)
• Jason William Lang, LMFT
• Jeffrey Larkin, MD
• Peter Larocco
• Kristin Latimer, LAC
• Victoria Latini, LAC
• Therese Colette Latorre, LCSW

• Adult Health Nurse Practitioner in Woodbury, NJ
• Providers in Woodbury, NJ by specialty
• Adult Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.