Individual provider Active NPI

Lyron Andre Deputy, CNS,FNP-BC

  • Nurse Practitioner
  • Newark, DE
National Provider Identifier
1134441702
Registry record updated Apr 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
LG-0001219 Issued in DE
Practice address
261 Chapman Rd Ste 100
Newark, DE 19702-5426
Phone
(302) 652-5109
Fax
(877) 575-3337
NPI assigned
Feb 23, 2010
Last updated
Apr 19, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2019

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 LG-0001219 DE Primary

Addresses

Primary practice location

261 Chapman Rd Ste 100
Newark, DE 19702-5426

Mailing address

261 Chapman Rd Ste 100
Newark, DE 19702-5426
Phone (302) 652-5109

Other practice location 1

701 Foulk Rd Ste 1G
Wilmington, DE 19803-3733
Phone (302) 652-5109

Other practice location 2

118 Sandhill Dr Ste 201
Middletown, DE 19709-5859
Phone (302) 652-5109

Other practice location 3

20930 DuPont Blvd Unit 202
Georgetown, DE 19947-1724
Phone (302) 652-5109

Other practice location 4

18947 John J Williams Hwy Unit 213
Rehoboth Beach, DE 19971-4476
Phone (302) 652-5109

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20100730000683 DE Practitioner - Nurse Practitioner 8426007162 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Premier Medical AssociatesGroup PAC ID 0345662490, 5 clinicians

Practice addresses (Care Compare)

18947 John J Williams Hwy
Suite 213
Rehoboth Beach, DE 19971-4476
Phone 3029949314108

620 Stanton Christiana Rd
Suite 101
Newark, DE 19713-2134
Phone (302) 375-6746

701 Foulk Rd
Suite 1G
Wilmington, DE 19803-3733
Phone (302) 375-6746

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LG-0001219DEMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Medical Associates, LLC CurrentSince Jun 1, 2020 Accepting new patients
Premier Medical Associates CurrentSince Jun 1, 2020 Accepting new patients
Delaware Sleep Disorder Centers, LLC Current Accepting new patients
Delaware Sleep Disorder Centers, LLC CurrentSince Mar 1, 2015 Accepting new patients
Delaware Sleep Disorder Centers, LLC CurrentSince Dec 1, 2018 Accepting new patients
Premier Medical Associates Past Accepting new patients
Premier Medical Associates, LLC Past Accepting new patients
Premier Medical Associates Past Accepting new patients
Premier Medical Associates Past Accepting new patients
Premier Medical Associates Past Accepting new patients
Premier Medical Associates Past Accepting new patients
Premier Medical Associates Past Accepting new patients
Premier Medical Associates Past Accepting new patients
Premier Medical Associates Past Accepting new patients
Premier Medical Associates Past Accepting new patients
Premier Medical Associates Past Accepting new patients

Locations

2116 S DuPont Hwy
Ste 3
Camden, DE 19934
Phone (302) 698-4370

1893 S DuPont Hwy
Ste 101
Dover, DE 19901

30 E Division St
Dover, DE 19901
Phone (302) 678-8311

2 Lee Ave
Unit 102
Georgetown, DE 19947
Phone (302) 253-8740

20930 DuPont Blvd
Unit 202
Georgetown, DE 19947
Phone (302) 202-3438

1408 Savannah Rd
Lewes, DE 19958
Phone (302) 430-2127

34434 King Street Row
Ste 2
Lewes, DE 19958
Phone (302) 387-1407

118 Sandhill Dr
Ste 201
Middletown, DE 19709
Phone 3024499314108

212 Carter Dr
Ste E
Middletown, DE 19709
Phone (302) 482-2035

111 Neurology Way
Milford, DE 19963
Phone (302) 422-0800

32695 Long Neck Rd
Unit 2
Millsboro, DE 19966
Phone 3024499314108

261 Chapman Rd
Ste 100
Newark, DE 19702
Phone (302) 266-3246

620 Stanton Christiana Rd
Ste 101
Newark, DE 19713
Phone (302) 449-9314

18947 John J Williams Hwy
Unit 213
Rehoboth Beach, DE 19971
Phone (240) 401-0994

1400 Philadelphia Pike
Ste A4
Wilmington, DE 19809
Phone (302) 472-4878

700 W Lea Blvd
Wilmington, DE 19802
Phone (302) 320-4050

701 Foulk Rd
Ste 1G
Wilmington, DE 19803
Phone (302) 368-3300

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CFCECD
  • FHIR API: https://fhir4.healow.com/fhir/r4/CFCECD/Endpoint/CFCECD
  • FHIR API: https://fhir4.healow.com/fhir/r4/CJGBCA
  • FHIR API: https://fhir4.healow.com/fhir/r4/CJGBCA/Endpoint/CJGBCA

Organizations & group practices 29

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1266883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555632000000",
    "number": "1134441702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 CHAPMAN RD STE 100",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197025426",
            "telephone_number": "302-652-5109",
            "fax_number": "877-575-3337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 CHAPMAN RD STE 100",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197025426",
            "telephone_number": "302-652-5109",
            "fax_number": "877-575-3337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 Foulk Rd Ste 1G",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198033733",
            "country_code": "US",
            "telephone_number": "302-652-5109",
            "fax_number": "877-575-3337",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "118 Sandhill Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "DE",
            "postal_code": "197095859",
            "country_code": "US",
            "telephone_number": "302-652-5109",
            "fax_number": "877-575-3337",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20930 DuPont Blvd Unit 202",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "DE",
            "postal_code": "199471724",
            "country_code": "US",
            "telephone_number": "302-652-5109",
            "fax_number": "877-575-3337",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18947 John J Williams Hwy Unit 213",
            "address_purpose": "LOCATION",
            "city": "Rehoboth Beach",
            "state": "DE",
            "postal_code": "199714476",
            "country_code": "US",
            "telephone_number": "302-652-5109",
            "fax_number": "877-575-3337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEPUTY",
        "first_name": "LYRON",
        "middle_name": "ANDRE",
        "name_prefix": "Mr.",
        "credential": "CNS,FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-23",
        "last_updated": "2019-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DE",
            "license": "LG-0001219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.