Individual provider Active NPI

Lynne Carmickle, MD

  • Neurology Physician
  • Clifton, NJ
National Provider Identifier
1376877159
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
25MA04652400 Issued in NJ
Practice address
1136 Clifton Ave
Clifton, NJ 07013-3622
Phone
(973) 228-7933
Fax
(973) 228-7915
NPI assigned
Sep 25, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 25MA04652400 NJ Primary

Addresses

Primary practice location

1136 Clifton Ave
Clifton, NJ 07013-3622

Mailing address

1136 Clifton Ave
Clifton, NJ 07013-3622
Phone (973) 228-7933

Other practice location 1

18 W Blackwell St
Dover, NJ 07801-3841
Phone (973) 328-3344

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
I20210323001610 NJ Practitioner - Neurology 8325373814 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Zufall Health Center, Inc CurrentSince Feb 24, 2021 Accepting new patients
Zufall Health Center, Inc CurrentSince Feb 24, 2021 Accepting new patients
Zufall Health Center,Inc Past Accepting new patients

Locations

17 S Warren St
#0
Dover, NJ 07801

18 W Blackwell St
Dover, NJ 07801
Phone (973) 328-3344

4 Atno Ave
Morristown, NJ 07960
Phone (973) 267-0002

95 Northfield Ave
West Orange, NJ 07052
Phone (973) 325-2266

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1253836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770336000000",
    "number": "1376877159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1136 CLIFTON AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133622",
            "telephone_number": "973-228-7933",
            "fax_number": "973-228-7915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 CLIFTON AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133622",
            "telephone_number": "973-228-7933",
            "fax_number": "973-228-7915"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18 W Blackwell St",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "NJ",
            "postal_code": "078013841",
            "country_code": "US",
            "telephone_number": "973-328-3344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARMICKLE",
        "first_name": "LYNNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-25",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "25MA04652400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

Verify at the official NPI Registry.