Individual provider Active NPI

Kelly Ann Lynch, A.P.N.

  • Nurse Practitioner
  • Morristown, NJ
National Provider Identifier
1124227806
Registry record updated May 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ00136900 Issued in NJ
Practice address
131 Madison Ave
Second Floor
Morristown, NJ 07960-7360
Phone
(973) 540-9700
Fax
(973) 540-9717
NPI assigned
Jul 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ00136900 NJ Primary

Addresses

Primary practice location

131 Madison Ave
Second Floor
Morristown, NJ 07960-7360

Mailing address

131 Madison Ave
Second Floor
Morristown, NJ 07960-7360
Phone (973) 540-9700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120627000296 NJ Practitioner - Nurse Practitioner 0143485052 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Practice Associates Medical GroupGroup PAC ID 5890703177, 1,412 clinicians

Practice addresses (Care Compare)

100 Madison Ave
Morristown, NJ 07960-6136
Phone (973) 971-5596

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00136900NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Hospital Group, Inc. CurrentSince Aug 10, 2013 Accepting new patients
Practice Associates Medical Group CurrentSince Nov 5, 2016 Accepting new patients
Community Hospital Group Inc CurrentSince Aug 10, 2013 Accepting new patients

Locations

65 James St
Edison, NJ 08820
Phone (732) 321-7010

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

131 Madison Ave
Fl 2
Morristown, NJ 07960
Phone (973) 540-9700

100 Madison Ave
Ste C
Morristown, NJ 07960
Phone (973) 267-9543

465 South St
Ste 103
Morristown, NJ 07960
Phone (973) 971-7130

131 Madison Ave
Fl Second
Morristown, NJ 07960
Phone (973) 540-9700

242 W Parkway
Ste 101
Pompton Plains, NJ 07444

425 Jack Martin Blvd
Wall Township, NJ 08724
Phone (732) 840-2200

Organizations & group practices 3

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": "1184284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337040000000",
    "number": "1124227806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 MADISON AVE",
            "address_2": "SECOND FLOOR",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079607360",
            "telephone_number": "973-540-9700",
            "fax_number": "973-540-9717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 MADISON AVE",
            "address_2": "SECOND FLOOR",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079607360",
            "telephone_number": "973-540-9700",
            "fax_number": "973-540-9717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "A.P.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-13",
        "last_updated": "2012-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00136900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

Verify at the official NPI Registry.