Individual provider Active NPI

Lynn Maruskin, CNP

  • Pediatrics Physician
  • Brecksville, OH
National Provider Identifier
1265578660
Registry record updated Dec 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
RN258943 Issued in OH
Practice address
6909 Royalton Rd Ste 304
Brecksville, OH 44141-2478
Phone
(216) 383-0100
Fax
(216) 383-6481
NPI assigned
Jan 30, 2007
Last updated
Dec 18, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X RN258943 OH Primary

Addresses

Primary practice location

6909 Royalton Rd Ste 304
Brecksville, OH 44141-2478

Mailing address

PO Box 901599
Cleveland, OH 44190-1599
Phone (216) 383-6480

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lynnmaruskin@glhs.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN258943OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Pediatrics Past Accepting new patients
University Primary Care Practices Pediatrics Past Accepting new patients
University Primary Care Practices Inc Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lmaruskin28213@ehrdirect.uhhospitals.org

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, 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": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608249600000",
    "number": "1265578660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 901599",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441901599",
            "telephone_number": "216-383-6480",
            "fax_number": "216-383-6745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6909 ROYALTON RD STE 304",
            "city": "BRECKSVILLE",
            "state": "OH",
            "postal_code": "441412478",
            "telephone_number": "216-383-0100",
            "fax_number": "216-383-6481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARUSKIN",
        "first_name": "LYNN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "RN258943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lynnmaruskin@glhs.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "6909 Royalton Rd Ste 304",
            "city": "Brecksville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441412478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brecksville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2020; 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.