Lyons-Chvala Nephrology Associates

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD420924 Issued in PA

Legal business name

LYONS-CHVALA NEPHROLOGY ASSOCIATES

Practice address

231 N Broad St
3Rd Floor
Philadelphia, PA 19107-1511

Phone

(215) 751-0606

Fax

(215) 751-0506

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Kristen E Owen

Title

Office Manager

Phone

(215) 751-0606

Specialties & licenses 3

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Tax ID family

Lyons-Chvala Nephrology Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Lyons Chvala Nephrology Associates

  • Nephrology Physician
  • West Chester, PA
  • NPI 1104343011
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Lyons and Chvala Nephrology Assoc.

  • Nephrology Physician
  • Woodbury, NJ
  • NPI 1659567725

  Member Of

  NPD member

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Lyons Chvala Nephrology Associates

  • Nephrology Physician
  • West Chester, PA
  • NPI 1104343011
  NPPES parent name

Practitioners 3

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

• Robert P Chvala, M.D.

  • Specialist
  • Woodbury, NJ
  • NPI 1609814094

  PA

  Medicare reassignment Care Compare group
• Patricia J Lyons, M.D.

  • Specialist
  • Woodbury, NJ
  • NPI 1063454189

  PA

  Medicare reassignment Care Compare group
• Fazle Ali Noor, M.D

  • Nephrology Physician
  • Darby, PA
  • NPI 1487817672
  Medicare reassignment

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468368000000",
    "number": "1316044225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 N BROAD ST",
            "address_2": "SUITE 101",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080961796",
            "telephone_number": "856-384-0238",
            "fax_number": "856-384-4788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 N BROAD ST",
            "address_2": "3RD FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191071511",
            "telephone_number": "215-751-0606",
            "fax_number": "215-751-0506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYONS-CHVALA NEPHROLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2016-07-13",
        "status": "A",
        "authorized_official_last_name": "OWEN",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "215-751-0606",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD014096E",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD025096E",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD420924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000807140000",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8323500",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000694716000",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1016204420001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arthur James Lyon, MD
• Gyrid Lyon, PH.D.
• Julia Lyon, LCSW
• Sarah M. Lyon, MD
• Thomas Felton Lyon, MD
• Michelle S. Lyons-Fadel, MSS, LCSW
• Adam Lyons, MD
• Amanda Lyons, OTRL, OTD
• Amy Kathleen Lyons, MD
• Cortney Kerri Lyons, MSW, LCSW

• Specialist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Specialist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.