Dr Joan Lyn Family Medicine P a

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

DR JOAN LYN FAMILY MEDICINE P A

Practice address

17 NW 168TH St
North Miami Beach, FL 33169-6027

Phone

(954) 625-5061

Fax

(786) 955-6091

NPI assigned

Jan 7, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Joan Yvonne Lyn, DO., MPHNPI 1871666214

Title

Physician/Owner

Phone

(954) 625-5061

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Tax ID family

Dr Joan Lyn Family Medicine P a2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Dr Joan Lyn Family Medicine P a

  • Primary Care Clinic/Center
  • North Miami Beach, FL
  • NPI 1689731432
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joan Yvonne Lyn, D.O.

  • Family Medicine Physician
  • North Miami Beach, FL
  • NPI 1871666214
  NPD Authorized official

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

{
    "created_epoch": "1452124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635984000000",
    "number": "1114383197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 NW 168TH ST",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331696027",
            "telephone_number": "954-625-5061",
            "fax_number": "786-955-6091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 NW 168TH ST",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331696027",
            "telephone_number": "954-625-5061",
            "fax_number": "786-955-6091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR JOAN LYN FAMILY MEDICINE P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-07",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A",
        "authorized_official_last_name": "LYN",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "YVONNE",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "954-625-5061",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO., MPH"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NPI",
            "identifier": "1689731432",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "drjoanlynfamily@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Office e-mail",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EMR",
            "address_1": "17 NW 168th St",
            "city": "North Miami Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331696027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Primary Care Clinic/Center in North Miami Beach, FL
• Providers in North Miami Beach, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; 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.