Individual provider Active NPI

Jisann Lynch, PA

  • Obstetrics & Gynecology Physician
  • Brooklyn, NY
National Provider Identifier
1194823393
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
009928 Issued in NY
Practice address
1746 President St
Brooklyn, NY 11213-5057
Phone
(718) 963-8533
NPI assigned
Sep 20, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 009928 NY Primary

Addresses

Primary practice location

1746 President St
Brooklyn, NY 11213-5057

Mailing address

1746 President St
Brooklyn, NY 11213-5057
Phone (718) 963-8533

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101229000545 NY Practitioner - Physician Assistant 6406044866 Reassigns benefits to 1 organization
I20111108000039 NJ Practitioner - Physician Assistant 6406044866 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Everyday Urgent Care LLCGroup PAC ID 2668883281, 4 clinicians

Practice addresses (Care Compare)

61 W Pleasant Ave
Maywood, NJ 07607-1334
Phone (201) 720-6560

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
009928NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Everyday Wellness CurrentSince Sep 24, 2023 Accepting new patients
Nes Georgia Inc CurrentSince Mar 1, 2018 Accepting new patients
Englewood Medical Associates Inc Past Accepting new patients
Medical Associates of Englewood, PC Past Accepting new patients
Saint Michaels Physician Services PC Obstetrics & Gynecology PastSince Feb 23, 2013 Accepting new patients

Locations

225 Williamson St
Elizabeth, NJ 07202
Phone (908) 994-5204

61 W Pleasant Ave
Maywood, NJ 07607
Phone (201) 367-9477

111 Central Ave
Newark, NJ 07102
Phone (973) 877-5060

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: jlynch70081@northwell.direct-ci.com

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194823393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1746 PRESIDENT ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112135057",
            "telephone_number": "718-963-8533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1746 PRESIDENT ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112135057",
            "telephone_number": "718-963-8533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "JISANN",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "009928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.