Individual provider Active NPI

Valerie Kardon Lyon, MD

  • Family Medicine Physician
  • New York, NY
National Provider Identifier
1073509204
Registry record updated Mar 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
174349 Issued in NY
Practice address
59 E 54TH St
New York, NY 10022-4211
Phone
(212) 750-8330
Fax
(212) 750-8764
NPI assigned
Sep 22, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 174349 NY Primary

Addresses

Primary practice location

59 E 54TH St
New York, NY 10022-4211

Mailing address

59 E 54TH St
New York, NY 10022-4211
Phone (212) 750-2109

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20160707001355 NY Practitioner - Family Practice 9032131743 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Temple University School of Medicine, 1986
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

59 E 54TH St
RM 23
New York, NY 10022-9250
Phone (212) 750-8330

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
174349NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lyon Primary Care, PLLC Family Medicine Current Accepting new patients
Lyon & Martin Medical Associates, P.C. PastSince May 1, 2000 Accepting new patients

Locations

59 E 54th St
Rm 23
New York, NY 10022
Phone (212) 750-8330

Organizations & group practices 2

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": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519862400000",
    "number": "1073509204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 E 54TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224211",
            "telephone_number": "212-750-2109",
            "fax_number": "212-750-2149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 E 54TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224211",
            "telephone_number": "212-750-8330",
            "fax_number": "212-750-8764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYON",
        "first_name": "VALERIE",
        "middle_name": "KARDON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-22",
        "last_updated": "2018-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "174349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.