Individual provider Active NPI

Melissa Lyons, APN

  • Family Nurse Practitioner
  • Jackson, NJ
National Provider Identifier
1487298675
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00976700 Issued in NJ
Practice address
890 Bennetts Mills Rd
Jackson, NJ 08527-2736
Phone
(732) 367-7530
NPI assigned
Oct 31, 2019
Last updated
Nov 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00976700 NJ Primary

Addresses

Primary practice location

890 Bennetts Mills Rd
Jackson, NJ 08527-2736

Mailing address

890 Bennetts Mills Rd
Jackson, NJ 08527-2736
Phone (732) 367-7530

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00976700NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Visavis Health Care Medical Group of NJ LLC CurrentSince Apr 17, 2024 Accepting new patients
Minuteclinic Diagnostic of New Jersey LLC Family CurrentSince Oct 21, 2021 Accepting new patients
Visiting Nurse Association of Central Jersey, Community Health Center, Past Accepting new patients

Locations

471 Main St
Chatham, NJ 07928
Phone (973) 635-4636

890 Bennetts Mills Rd
Jackson, NJ 08527
Phone (732) 367-7530

4 Ryan Rd
Marlboro, NJ 07746
Phone (732) 431-8700

831 Bedford Ave
Brooklyn, NY 11205

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1572480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1487298675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 BENNETTS MILLS RD",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085272736",
            "telephone_number": "732-367-7530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 BENNETTS MILLS RD",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085272736",
            "telephone_number": "732-367-7530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYONS",
        "first_name": "MELISSA",
        "name_prefix": "Ms.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-31",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00976700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, NJ

Sources for this page

Verify at the official NPI Registry.