Lyn J Yaffe, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

D0014213 Issued in MD

Practice address

23041 Wild Hunt Dr
Gaithersburg, MD 20882-1512

Phone

(301) 467-2838

Fax

(240) 358-0057

NPI assigned

May 23, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1306108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306108800000",
    "number": "1154614287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23041 WILD HUNT DR",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208821512",
            "telephone_number": "301-467-2838",
            "fax_number": "240-358-0057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23041 WILD HUNT DR",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208821512",
            "telephone_number": "301-467-2838",
            "fax_number": "240-358-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAFFE",
        "first_name": "LYN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-23",
        "last_updated": "2011-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MD",
            "license": "D0014213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Gaithersburg, MD
• Providers in Gaithersburg, MD by specialty
• General Practice Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2011; 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.