Individual provider Active NPI

Douglas Stuart Lynch, DPM

  • Foot Surgery Podiatrist
  • Freehold, NJ
National Provider Identifier
1043439599
Registry record updated Sep 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
MD00268600 Issued in NJ
Practice address
124 Sherwood Dr
Freehold, NJ 07728-1328
Phone
(732) 333-1117
Fax
(732) 845-4671
NPI assigned
Apr 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X MD00268600 NJ Primary

Addresses

Primary practice location

124 Sherwood Dr
Freehold, NJ 07728-1328

Mailing address

124 Sherwood Dr
Freehold, NJ 07728-1328
Phone (732) 333-1117

Medicare participation

Medicare enrollment files
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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040331000873 NJ Practitioner - Podiatry 4789676719 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MD00268600NJMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Strictly House Calls Inc. Foot Surgery CurrentSince Apr 30, 2003 Accepting new patients
Deyong'S Eyeworld LLC PastSince Jan 7, 1991 Accepting new patients
Wayne Epstein Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dlynch@shci-nj.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190851200000",
    "number": "1043439599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 SHERWOOD DR",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077281328",
            "telephone_number": "732-333-1117",
            "fax_number": "732-845-4671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 SHERWOOD DR",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077281328",
            "telephone_number": "732-333-1117",
            "fax_number": "732-845-4671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "DOUGLAS",
        "middle_name": "STUART",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-24",
        "last_updated": "2007-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NJ",
            "license": "MD00268600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

Verify at the official NPI Registry.