Organization Active NPI

Lyndhurst Medical Assoc., P.a.

  • Cardiovascular Disease Physician
  • Clifton, NJ
National Provider Identifier
1386744571
Registry record updated Dec 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
LYNDHURST MEDICAL ASSOC., P.A.
Practice address
1033 Clifton Ave
Suite 102
Clifton, NJ 07013-3517
Phone
(201) 460-0142
Fax
(973) 473-7085
NPI assigned
Sep 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2012

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

Authorized official

Name
Ellen P Brown
Title
Billing Manager
Phone
(973) 777-9124

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

1033 Clifton Ave
Suite 102
Clifton, NJ 07013-3517

Mailing address

1033 Clifton Ave
Suite 102
Clifton, NJ 07013-3517
Phone (201) 460-0142

Other identifiers 1

IdentifierTypeStateIssuer
3143708MedicaidNJ

National Provider Directory

National Provider Directory

Locations

1033 Clifton Ave
Ste 102
Clifton, NJ 07013
Phone (973) 777-2005

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354492800000",
    "number": "1386744571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 CLIFTON AVE",
            "address_2": "SUITE 102",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133517",
            "telephone_number": "201-460-0142",
            "fax_number": "973-473-7085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 CLIFTON AVE",
            "address_2": "SUITE 102",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133517",
            "telephone_number": "201-460-0142",
            "fax_number": "973-473-7085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNDHURST MEDICAL ASSOC., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2012-12-03",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "973-777-9124"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3143708",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2012; 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.