Timothy Lyons D.C. PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00698100 Issued in NJ

Legal business name

TIMOTHY LYONS D.C. PC

Practice address

110 Bloomfield Ave
Suite B
Caldwell, NJ 07006-5336

Phone

(973) 228-0500

Fax

(973) 228-0501

NPI assigned

Feb 7, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Timothy James Lyons Jr., D.C.

Title

President

Phone

(973) 228-0500

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1328572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328572800000",
    "number": "1073885950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 BLOOMFIELD AVE",
            "address_2": "SUITE B",
            "city": "CALDWELL",
            "state": "NJ",
            "postal_code": "070065336",
            "telephone_number": "973-228-0500",
            "fax_number": "973-228-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 BLOOMFIELD AVE",
            "address_2": "SUITE B",
            "city": "CALDWELL",
            "state": "NJ",
            "postal_code": "070065336",
            "telephone_number": "973-228-0500",
            "fax_number": "973-228-0501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY LYONS D.C. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-07",
        "last_updated": "2012-02-07",
        "status": "A",
        "authorized_official_last_name": "LYONS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-228-0500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00698100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.