Claudia Lynch

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

26NJ00699700 Issued in NJ

Practice address

972 Broad St
Newark, NJ 07102-2533

Phone

(973) 735-1231

NPI assigned

Apr 14, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1492128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492128000000",
    "number": "1114451234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "972 BROAD ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071022533",
            "telephone_number": "973-735-1231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "972 BROAD ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071022533",
            "telephone_number": "973-735-1231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "CLAUDIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-14",
        "last_updated": "2017-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NJ",
            "license": "26NJN012415500",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ00699700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madelyn Lorene Lux
• Luz Myofascial Pain Treatment Center
• David Ly, MD
• Phung My Ly, LPCC, CDAC-II, MSCP
• Beatrice Lynch, MD
• Sheila Lynn-McCowin
• Lypossage a Therapeutic & Medical Massage
• M Sahota MD PC
• M.E.T.S. Charter School
• Celena Qianru Ma, MD

• Gerontology Nurse Practitioner in Newark, NJ
• Providers in Newark, NJ by specialty
• Gerontology Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2017; 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.