Individual provider Active NPI

Lynn McCoy, D.O.

  • Emergency Medicine Physician
  • Rahway, NJ
National Provider Identifier
1275706202
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
25MB08384000 Issued in NJ
Practice address
865 Stone St
Rahway, NJ 07065
Phone
(732) 499-6100
NPI assigned
Apr 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 25MB08384000 NJ Primary

Addresses

Primary practice location

865 Stone St
Rahway, NJ 07065

Mailing address

1880 Manor Dr
Apt. C
Union, NJ 07083-4567
Phone (908) 688-1412

Other identifiers 1

IdentifierTypeStateIssuer
0184047MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080730000723 NJ Practitioner - Emergency Medicine 9931273547 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Associates of Montclair LLCGroup PAC ID 0244522241, 24 clinicians

Practice addresses (Care Compare)

300 Central Ave
East Orange, NJ 07018-2819
Phone (973) 672-8400

Hospital & facility affiliations

  • Carewell Health Medical Center Hospital, East Orange, NJ, CCN 310083

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Prohealth Urgent Care Medicine of New Jersey LLP CurrentSince Dec 1, 2021 Accepting new patients
Nes Georgia Inc Emergency Medicine CurrentSince Jan 1, 2015 Accepting new patients
Emergency Associates of Montclair LLC Emergency Medicine CurrentSince May 10, 2024 Accepting new patients
Emergency Associates of St Marys LLC Emergency Medicine CurrentSince Dec 1, 2017 Accepting new patients
Nes Georgia Inc Emergency Medicine CurrentSince Jan 1, 2015 Accepting new patients
Emergency Physician Associates of North Jersey P C Emergency Medicine CurrentSince Feb 8, 2010 Accepting new patients
Eastern Emergency Physicians LLC Emergency Medicine Past Accepting new patients

Locations

1210 Route 130 N
Ste 1438
Cinnaminson, NJ 08077
Phone (551) 313-0170

300 Central Ave
East Orange, NJ 07018
Phone (973) 266-8460

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

415 W Saint Georges Ave
Linden, NJ 07036
Phone (908) 925-0363

1 Bay Ave
Montclair, NJ 07042
Phone (973) 429-6100

350 Boulevard
Passaic, NJ 07055
Phone (973) 365-4300

1 Harmon Plz
Ste 1010
Secaucus, NJ 07094

99 Beauvoir Ave
Summit, NJ 07901
Phone (908) 522-2232

66 W Gilbert St
Tinton Falls, NJ 07701
Phone (732) 212-0051

Organizations & group practices 7

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1275706202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 MANOR DR",
            "address_2": "APT. C",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070834567",
            "telephone_number": "908-688-1412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 STONE ST",
            "city": "RAHWAY",
            "state": "NJ",
            "postal_code": "07065",
            "telephone_number": "732-499-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-10",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MB08384000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0184047",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rahway, NJ

Sources for this page

Verify at the official NPI Registry.