MIMEROSE P. LANG
NPI 1437880648
Nurse Practitioner - Psychiatric/Mental Health in Englewood, NJ

Active since June 19, 2022PECOS EnrolledAccepts Medicare Assignment
350 ENGLE ST, ENGLEWOOD, NJ 07631(201) 292-1400 Get Directions Write a Review

NPPES record last updated: March 26, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 26, 2025, Sep 27, 2024, Feb 20, 2023 (3 updates tracked since 2023).

About Mimerose P. Lang NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIMEROSE P. LANG (NPI 1437880648) is an individual psychiatric/mental health provider in Englewood, New Jersey, licensed in New Jersey (26NJ013180600) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS, is affiliated with Good Samaritan Hospital Of Suffern, and maintains a secondary practice location in Brooklyn.

NPPES Registry Identity

NPI1437880648
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMIMEROSE P. LANG
Location Address350 ENGLE STEnglewood, NJ 07631-1808
Mailing Address712 E 27th St Apt 3aBrooklyn, NY 11210-2217 · (646) 591-9964
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJune 19, 2022
Last NPPES UpdateMarch 26, 20253 updates tracked since enumeration
NPPES CertifiedMarch 26, 2025
✔ NPI 1437880648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NJ · 26NJ013180600
350 ENGLE ST, Englewood, NJ 07631

Secondary Practice Location 1

Location 1712 E 27th St Apt 3ABrooklyn, NY 11210-2217 · Phone (718) 647-2443

Other Identifiers 1

Medicaid0998974NJ

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mimerose P. Lang is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527421692
PECOS Enrollment IDI20230823001942
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

7

Medicare enrollment records show Mimerose Lang reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
350 ENGLE ST
Englewood, NJ 07631
  • Reassigned Medicare billing, New Jersey enrollment
  • 849 clinicians in this Medicare group
Legal Medicine
2015 GRAND CONCOURSE
Bronx, NY 10453
  • Reassigned Medicare billing, New York enrollment
  • 1,393 clinicians in this Medicare group
Multi-Specialty
1250 SHAKESPEARE AVE
Bronx, NY 10452
  • Reassigned Medicare billing, New York enrollment
  • 272 clinicians in this Medicare group
Internal Medicine
2626 HALPERIN AVE
Bronx, NY 10461
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Bronx Medical Practice PC
  • 1,013 clinicians in this Medicare group
Internal Medicine
1371 SEABURY AVE
Bronx, NY 10461
  • Reassigned Medicare billing, New York enrollment
  • 1,054 clinicians in this Medicare group
Internal Medicine
2 JOURNAL SQUARE, 2ND FLR
Jersey City, NJ 07306
  • Reassigned Medicare billing, New Jersey enrollment
  • 121 clinicians in this Medicare group
Internal Medicine
20 GRAND ST, 3RD FLOOR
Warwick, NY 10990
  • Reassigned Medicare billing, New York enrollment
  • 176 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Good Samaritan Hospital Of Suffern

Acute Care Hospitals · Suffern, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330158
Location255 Lafayette AvenueSuffern, NY 10901 · Rockland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07631 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
350 ENGLE ST, ENGLEWOOD HOSPITAL-DEPARTAMENT OF MEDICINE
ENGLEWOOD, NJ 07631
Pathology (Anatomic Pathology & Clinical Pathology)
350 ENGLE ST, DEPT. OF PATHOLOGY
ENGLEWOOD, NJ 07631
Specialist
350 ENGLE ST, SUITE 5N
ENGLEWOOD, NJ 07631
Anesthesiology
350 ENGLE ST
ENGLEWOOD, NJ 07631
Obstetrics & Gynecology (Gynecology)
350 ENGLE ST, 5 WEST
ENGLEWOOD, NJ 07631
Nurse Practitioner (Adult Health)
350 ENGLE ST
ENGLEWOOD, NJ 07631
Nurse Anesthetist, Certified Registered
350 ENGLE ST
ENGLEWOOD, NJ 07631
Student in an Organized Health Care Education/Training Program
350 ENGLE ST
ENGLEWOOD, NJ 07631

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mimerose Lang's NPI number?

The NPI number for Mimerose Lang is 1437880648. It was assigned to this individual provider in the NPPES registry on June 19, 2022.

Where is Mimerose Lang located?

Mimerose Lang practices at 350 Engle St, Englewood, NJ 07631. The listed phone number is (201) 292-1400.

What is Mimerose Lang's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Mimerose Lang enrolled in Medicare?

Yes. Mimerose Lang is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Mimerose Lang's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mimerose Lang reassigns Medicare benefits to 7 organizations: Medical Associates Of Englewood, PC (Englewood, NJ), Essen Medical Associates, PC (Bronx, NY), Shakespeare Operating LLC (Bronx, NY), Bronx Medical Practice P.C. (Bronx, NY), House Call Medical Services Of New York, PLLC (Bronx, NY) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mimerose Lang's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mimerose Lang accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Mimerose Lang as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mimerose Lang affiliated with any hospitals?

According to CMS data, Mimerose Lang is affiliated with Good Samaritan Hospital Of Suffern.

When was this NPI record last updated?

The NPPES record for Mimerose Lang was last updated on March 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.