Individual provider Active NPI

Lynn Paik, D.O.

  • Urology Physician
  • Media, PA
National Provider Identifier
1063640431
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
5101018093 Issued in MI
Practice address
200 E State St Ste 205
Media, PA 19063-3434
Phone
(610) 565-2776
Fax
(610) 565-4247
NPI assigned
Jun 24, 2009
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 272974 NY
Urology Physician 208800000X 5101018093 MI Primary

Addresses

Primary practice location

200 E State St Ste 205
Media, PA 19063-3434

Mailing address

200 E State St Ste 205
Media, PA 19063-3434
Phone (610) 565-2776

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150710000650 PA Practitioner - Urology 9830401413 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Michigan State University College of Osteopathic Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

500 Evergreen Dr G5 Garden Te
Academic Urology Crozer
Glen Mills, PA 19342-1032
Phone (610) 579-3577

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101018093MIMDUrology Physician
272974NYMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prospect Health Access Network, Inc. CurrentSince Jan 3, 2017 Accepting new patients
Alliance Physician Services, PC Urology CurrentSince Oct 1, 2017 Accepting new patients
Prospect Health Access Network, Inc. CurrentSince Jan 3, 2017 Accepting new patients
Prospect Health Access Network, Inc. Current Accepting new patients
Alliance Physician Services, PC Urology CurrentSince Oct 1, 2017 Accepting new patients
Alliance Physician Services, PC Urology Current Accepting new patients

Locations

30 Lawrence Rd
Ste 700
Broomall, PA 19008
Phone (484) 446-3660

919 Conestoga Rd
Bldg 1
Bryn Mawr, PA 19010
Phone (610) 525-6400

1 Medical Center Blvd
Ste 301
Chester, PA 19013
Phone (610) 566-6744

100 Maris Grove Way
Glen Mills, PA 19342
Phone (610) 387-4520

500 Evergreen Dr
Ste G5
Glen Mills, PA 19342
Phone (610) 566-4383

211 S Gulph Rd
Ste 200
Kng of Prussa, PA 19406
Phone (610) 382-5910

200 E State St
Ste 205
Media, PA 19063
Phone (610) 521-4112

100 W Sproul Rd
Ste 123
Springfield, PA 19064
Phone (610) 619-8281

656 E Swedesford Rd
Ste 100
Wayne, PA 19087
Phone (610) 230-0736

656 E Swedesford Rd
Ste 120
Wayne, PA 19087
Phone (610) 273-5320

Organizations & group practices 6

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

Hospital & facility affiliations 4

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": "1245801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1063640431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E STATE ST STE 205",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190633434",
            "telephone_number": "610-565-2776",
            "fax_number": "610-565-4247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E STATE ST STE 205",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190633434",
            "telephone_number": "610-565-2776",
            "fax_number": "610-565-4247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAIK",
        "first_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-24",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "272974",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MI",
            "license": "5101018093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Media, PA

Sources for this page

Verify at the official NPI Registry.