NPIMap

Individual provider Active NPI

Patricia J Lyons, M.D.

  • Specialist
  • Woodbury, NJ
National Provider Identifier
1063454189
Registry record updated Jul 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD-014096-E Issued in PA
Practice address
730 N Broad St
Suite 101
Woodbury, NJ 08096-1796
Phone
(856) 384-0238
Fax
(856) 384-4788
NPI assigned
Jun 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD-014096-E PA Primary
Specialist 174400000X MA07132600 NJ

Addresses

Primary practice location

730 N Broad St
Suite 101
Woodbury, NJ 08096-1796

Mailing address

730 N Broad St
Suite 101
Woodbury, NJ 08096-1796
Phone (856) 384-0238

Other identifiers 1

IdentifierTypeStateIssuer
0396303MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050119000271 NJ Practitioner - NephrologyPractitioner - Internal Medicine 3971552720 Reassigns benefits to 1 organization
I20120208000124 PA Practitioner - NephrologyPractitioner - Internal Medicine 3971552720 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Hahnemann University College of Medicine, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lyons-Chvala Nephrology AssociatesGroup PAC ID 3779555347, 2 clinicians
Lyons and Chvala Nephrology Assoc.Group PAC ID 0143300103, 2 clinicians

Practice addresses (Care Compare)

219 N Broad St
FL 7
Philadelphia, PA 19107-1506
Phone (215) 751-0606

730 N Broad St
Suite 101
Woodbury, NJ 08096-1796
Phone (856) 384-0238

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA07132600NJMDSpecialist
MD-014096-EPAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Lyons and Chvala Nephrology Assoc. CurrentSince Jun 30, 2006 Accepting new patients
Lyons Chvala Nephrology Associates Past Accepting new patients

Locations

730 N Broad St
Ste 101
Woodbury, NJ 08096
Phone (856) 384-0238

219 N Broad St
Fl 7
Philadelphia, PA 19107
Phone (215) 751-0606

231 N Broad St
Fl 3
Philadelphia, PA 19107
Phone (215) 751-0606

419 N Franklin St
Ste 3
West Chester, PA 19380
Phone (610) 344-7703

Interoperability endpoints

  • Direct secure messaging: plyons@lyonschvala.gwaydirect.com

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469059200000",
    "number": "1063454189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 N BROAD ST",
            "address_2": "SUITE 101",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080961796",
            "telephone_number": "856-384-0238",
            "fax_number": "856-384-4788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 N BROAD ST",
            "address_2": "SUITE 101",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080961796",
            "telephone_number": "856-384-0238",
            "fax_number": "856-384-4788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYONS",
        "first_name": "PATRICIA",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2016-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD-014096-E",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA07132600",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0396303",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, NJ

Sources for this page

Verify at the official NPI Registry.