Paul Matthew Lydon, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC008039L Issued in PA

Practice address

1186 Church Street
Moscow, PA 18444

Phone

(570) 842-5131

Fax

(570) 842-5126

NPI assigned

Jul 20, 2006

Sex

Male

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

Enrolled in PA

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rocco Diana DC PCGroup PAC ID 9032519103, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rocco Diana DC, P.C.

  dba Vital Link Chiropractic

  • Chiropractor
  • Moscow, PA
  • NPI 1174199293
  Medicare reassignment Care Compare group NPD
• Chiropractic Associates of N.E.P.a PC

  • Chiropractor
  • Scranton, PA
  • NPI 1275679748
  NPD (past)
• Universal Chiropractic Inc.

  dba Vito chiropractic

  • Health Service Clinic/Center
  • Scranton, PA
  • NPI 1164783338
  NPD (past)

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297728000000",
    "number": "1043230204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1186 CHURCH STREET",
            "city": "MOSCOW",
            "state": "PA",
            "postal_code": "18444",
            "telephone_number": "570-558-1855",
            "fax_number": "570-558-1856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1186 CHURCH STREET",
            "city": "MOSCOW",
            "state": "PA",
            "postal_code": "18444",
            "telephone_number": "570-842-5131",
            "fax_number": "570-842-5126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYDON",
        "first_name": "PAUL",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2011-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC008039L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1015959670001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keystone Community Resources, Inc.
• Mary Ellen Kolibsky
• Perry Koslow, PT
• Ratibor Kosov
• Kegan Laman, MA, LAPC
• Richard Eugene Margerum, OD
• Mercy Group Practice LLC
• Moscow Fire and Hose Company
• David John Nagurney, DDS
• Maria Nardone, DPT

• Chiropractor in Moscow, PA
• Providers in Moscow, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.