Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mimerose P. Lang

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1437880648

Mimerose P. Lang is a Nurse Practitioner in Englewood, New Jersey. Qualified in 2022, 4 years ago. Practices with Shakespeare Operating LLC, a 137-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New Jersey.

Years since qualifying
4
Licensed in
NJ
In the registry since
2022
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Practice location Address checks out

350 Engle St
Englewood, NJ 07631-1808
Phone: (201) 292-1400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 712 E 27th St Apt 3a, Brooklyn, NY 11210-2217 — (718) 647-2443

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 26NJ013180600 (NJ)

Record details

NPI number1437880648
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 19, 2022
Last updated in NPPESMarch 26, 2025
Certification dateMarch 26, 2025
Mailing address712 E 27th St Apt 3a, Brooklyn, NY 11210-2217

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Shakespeare Operating Llc — 137 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Englewood