Lyon Primary Care, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

174349-1 Issued in NY

Legal business name

LYON PRIMARY CARE, PLLC

Practice address

59 E 54TH St RM 23
New York, NY 10022-9250

Phone

(212) 750-2109

Fax

(212) 750-2149

NPI assigned

Nov 10, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Valerie Kardon Lyon, MDNPI 1073509204

Title

Owner

Phone

(212) 750-2109

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Valerie Kardon Lyon, MD

  • Family Medicine Physician
  • New York, NY
  • NPI 1073509204
  NPD Authorized official

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

{
    "created_epoch": "1510272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519344000000",
    "number": "1245743343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 E 54TH ST RM 23",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100229250",
            "telephone_number": "212-750-2109",
            "fax_number": "212-750-2149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 E 54TH ST RM 23",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100229250",
            "telephone_number": "212-750-2109",
            "fax_number": "212-750-2149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYON PRIMARY CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-10",
        "last_updated": "2018-02-23",
        "status": "A",
        "authorized_official_last_name": "LYON",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "KARDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-750-2109",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "174349-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whitney Anna Lynn
• Lynne Ward, LCSW, PLLC
• Lynx Ipa LLC
• John Lyo, MD
• Lyon & Martin Medical Associates, P.C.
• Anthony J. Lyon, M.D.
• Derek George Lyon, NP
• Kathleen Lyon, M.D.
• Miranda Lyon
• Ross T Lyon, M.D.

• Family Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2018; 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.