Lynn Renay Parker, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

26NJ00084000 Issued in NJ

Practice address

65 Bergen St
Suite 1118
Newark, NJ 07107-3001

Phone

(973) 972-8946

NPI assigned

Jan 16, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 1999

Medicare assignment

May accept Medicare assignment

Group practices

Py Medical Services of NJ LLCGroup PAC ID 6901276922, 46 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8054/brand/1/csg/1/fhir/r4
• Direct secure messaging: lynn.parker.1@8054.direct.athenahealth.com

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.

• Py Medical Services of NJ LLC

  • Multi-Specialty Clinic/Center
  • Newark, NJ
  • NPI 1942912381
  Medicare reassignment Care Compare group NPD
• Heaven Sent Medical Services LLC

  • Adult Health Nurse Practitioner
  • Rahway, NJ
  • NPI 1467760843
  NPD Authorized official

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326067200000",
    "number": "1477604205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "284 E LAKE AVE",
            "city": "RAHWAY",
            "state": "NJ",
            "postal_code": "070654942",
            "telephone_number": "732-259-5156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 BERGEN ST",
            "address_2": "SUITE 1118",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071073001",
            "telephone_number": "973-972-8946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "LYNN",
        "middle_name": "RENAY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2012-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00084000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "0230375",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jung Ki Park, MD
• Krystle Haver Park, APRN
• Min Jung Park, DO
• Shane Park
• Parker-All-Inclusive-Care LLC
• Penny Elaine Parker, FNP
• Lisa Parks
• Marc S Parlavecchio, DDS
• Tiffany Parmley
• Samantha Neto Parreiral, LCSW

• Adult Health Nurse Practitioner in Newark, NJ
• Providers in Newark, NJ by specialty
• Adult Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.