Active NPI
Lyndhurst Medical Assoc., P.a.
- Cardiovascular Disease Physician
- Clifton, NJ
National Provider Identifier
1386744571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3143708 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryLocations
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.