Alyssa Lynch, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

25MP00110200 Issued in NJ

Practice address

333 Route 46 W
Mountain Lakes, NJ 07046-1743

Phone

(973) 316-1701

NPI assigned

Mar 27, 2007

Sex

Female

Sole proprietor

No

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.

• Oncology & Hematology Specialists,P.a.

  • Hematology & Oncology Physician
  • Mountain Lakes, NJ
  • NPI 1962511147

  NJ

  Medicare reassignment NPD
• Practice Associates Medical Group

  • Internal Medicine Physician
  • Morristown, NJ
  • NPI 1427016385

  NJ

  Medicare reassignment

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

• Alyssa Sheridan Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 14, 2025.

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1043339757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MADISON AVE",
            "address_2": "SUITE C3402",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079606136",
            "telephone_number": "973-267-9543",
            "fax_number": "973-267-2550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 ROUTE 46 W",
            "city": "MOUNTAIN LAKES",
            "state": "NJ",
            "postal_code": "070461743",
            "telephone_number": "973-316-1701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Madison Ave",
            "address_2": "suite C3402",
            "address_purpose": "LOCATION",
            "city": "Morristown",
            "state": "NJ",
            "postal_code": "079606136",
            "country_code": "US",
            "telephone_number": "973-267-9543",
            "fax_number": "973-267-2550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "ALYSSA",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00110200",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00110200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "SHERIDAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Marla E Leen, DPM
• Frederick T Legband, D.M.D.
• Keith S Leibowitz, DO
• Jason Levitz, M.D.
• Juan Lopez, M.D.
• Michael Malagold, MD
• Kristi Lauren Marinco
• Emily Rose Maser
• Ronald D Massari, MD
• Jacqueline Matacchiera

• All providers in Mountain Lakes, NJ
• Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.