Individual provider Active NPI

Paul F Lyons

  • Chiropractor
  • North Plainfield, NJ
National Provider Identifier
1003997180
Registry record updated Sep 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Practice address
50 Greenbrook Rd
North Plainfield, NJ 07060-4560
Phone
(908) 755-2111
Fax
(908) 755-0614
NPI assigned
Oct 17, 2006
Last updated
Sep 25, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NJ Primary

Addresses

Primary practice location

50 Greenbrook Rd
North Plainfield, NJ 07060-4560

Mailing address

50 Greenbrook Rd
North Plainfield, NJ 07060-4560
Phone (908) 755-2111

Other identifiers 1

IdentifierTypeStateIssuer
3357902MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111213000039 NJ Practitioner - Chiropractic 6204898729

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Networks

  • devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9
  • devoted network organization-2d523d8e-e8f9-454a-bcd3-333df65bdbe8
  • devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190678400000",
    "number": "1003997180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 GREENBROOK RD",
            "city": "NORTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070604560",
            "telephone_number": "908-755-2111",
            "fax_number": "908-755-0614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 GREENBROOK RD",
            "city": "NORTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070604560",
            "telephone_number": "908-755-2111",
            "fax_number": "908-755-0614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYONS",
        "first_name": "PAUL",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3357902",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Plainfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.