Active NPI
Lynch Healthcare LLC
- Acute Care Nurse Practitioner
- Wall, NJ
National Provider Identifier
1043028368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- Legal business name
- LYNCH HEALTHCARE LLC
- Practice address
- 2510 Belmar Blvd
Wall, NJ 07719-3948 - Phone
- (201) 892-4804
- NPI assigned
- Dec 19, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Veronique Monique Lynch, DNP
- Title
- Owner
- Phone
- (201) 892-4804
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | Primary |
Addresses
Primary practice location
2510 Belmar Blvd
Wall, NJ 07719-3948
Mailing address
5 Dominion Dr
Jackson, NJ 08527-3768
Phone (201) 892-4804
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241231001772 | NJ | Part B Supplier - Clinic/Group Practice | 7911434063 |
Receives reassigned benefits from 1 practitioner Practice locations: Wall, NJ |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Acute Care Nurse Practitioner
- Jackson, NJ
- NPI 1700240397
Acute Care, NJ
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734566400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1734739200000",
"number": "1043028368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 DOMINION DR",
"city": "JACKSON",
"state": "NJ",
"postal_code": "085273768",
"telephone_number": "201-892-4804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2510 BELMAR BLVD",
"city": "WALL",
"state": "NJ",
"postal_code": "077193948",
"telephone_number": "201-892-4804"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LYNCH HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-19",
"last_updated": "2024-12-21",
"certification_date": "2024-12-21",
"status": "A",
"authorized_official_last_name": "LYNCH",
"authorized_official_first_name": "VERONIQUE",
"authorized_official_middle_name": "MONIQUE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "201-892-4804",
"authorized_official_credential": "DNP"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Acute Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wall, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2024; 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.