Individual provider Active NPI

Ashley M Lyons-Valenti, RN, APN

  • Nurse Practitioner
  • Pennsville, NJ
National Provider Identifier
1275715179
Registry record updated Jul 29, 2019
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(3) exclusion effective Jul 20, 2025.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ00025300 Issued in NJ
Practice address
390 N Broadway
Concorde Professional BLDG., Suite 100
Pennsville, NJ 08070-1253
Phone
(856) 678-6411
Fax
(856) 678-7509
NPI assigned
Dec 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NJ00025300 NJ
Nurse Practitioner 363L00000X 26NJ00025300 NJ Primary

Addresses

Primary practice location

390 N Broadway
Concorde Professional BLDG., Suite 100
Pennsville, NJ 08070-1253

Mailing address

1 Federal St # 200
Camden, NJ 08103-1088
Phone (856) 356-4924

Other identifiers 2

IdentifierTypeStateIssuer
7209908MedicaidNJ
0479412001OtherNJAMERIHEALTH GRP #

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
NJ00025300NJMDFamily Medicine Physician
26NJ00025300NJMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564358400000",
    "number": "1275715179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FEDERAL ST # 200",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031088",
            "telephone_number": "856-356-4924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 N BROADWAY",
            "address_2": "CONCORDE PROFESSIONAL BLDG., SUITE 100",
            "city": "PENNSVILLE",
            "state": "NJ",
            "postal_code": "080701253",
            "telephone_number": "856-678-6411",
            "fax_number": "856-678-7509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYONS-VALENTI",
        "first_name": "ASHLEY",
        "middle_name": "M",
        "credential": "RN, APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-03",
        "last_updated": "2019-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "NJ00025300",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00025300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7209908",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH GRP #",
            "identifier": "0479412001",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pennsville, NJ

Sources for this page

Verify at the official NPI Registry.