NPIMap

Organization Active NPI

347 Lyons Avenue Medical Center LLC

  • Legal Medicine
  • Newark, NJ
National Provider Identifier
1386829778
Registry record updated Jan 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
Legal business name
347 LYONS AVENUE MEDICAL CENTER LLC
Practice address
347 Lyons Ave
Newark, NJ 07112-1440
Phone
(973) 923-5771
Fax
(973) 923-0532
NPI assigned
Jan 3, 2008
Last updated
Jan 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2008

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

Authorized official

Name
Irvin Muse
Title
Owner
Phone
(973) 923-5771

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193400000X SINGLE SPECIALTY GROUP 173000000X Primary

Addresses

Primary practice location

347 Lyons Ave
Newark, NJ 07112-1440

Mailing address

62 Williamson Ave
Hillside, NJ 07205-1606
Phone (973) 923-5771

National Provider Directory

National Provider Directory

Locations

347 Lyons Ave
Newark, NJ 07112
Phone (973) 923-5771

NPI Registry JSON

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

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199318400000",
    "number": "1386829778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 WILLIAMSON AVE",
            "city": "HILLSIDE",
            "state": "NJ",
            "postal_code": "072051606",
            "telephone_number": "973-923-5771",
            "fax_number": "973-923-0532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 LYONS AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071121440",
            "telephone_number": "973-923-5771",
            "fax_number": "973-923-0532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "347 LYONS AVENUE MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-03",
        "last_updated": "2008-01-03",
        "status": "A",
        "authorized_official_last_name": "MUSE",
        "authorized_official_first_name": "IRVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-923-5771"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2008; 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.