Active NPI
Lynda Anne Earley, R.N.
- Registered Nurse
- Perth Amboy, NJ
National Provider Identifier
1508072349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 26NO09901200
- Practice address
- 570 Lee St
Perth Amboy, NJ 08861-3053 - Phone
- (732) 442-1666
- Fax
- (732) 442-2661
- NPI assigned
- May 16, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 26NO09901200 | NJ | Primary |
Addresses
Primary practice location
570 Lee St
Perth Amboy, NJ 08861-3053
Mailing address
30 Pointer PL
Kendall Park, NJ 08824-1491
Phone (732) 297-8347
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0011801 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NO09901200 | NJ | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Middlesex | Past | Accepting new patients | |
| County of Middlesex | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Public Health or Welfare Agency
- East Brunswick, NJ
- NPI 1023148178
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Perth Amboy, NJ
- NPI 1437245800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508072349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 POINTER PL",
"city": "KENDALL PARK",
"state": "NJ",
"postal_code": "088241491",
"telephone_number": "732-297-8347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "570 LEE ST",
"city": "PERTH AMBOY",
"state": "NJ",
"postal_code": "088613053",
"telephone_number": "732-442-1666",
"fax_number": "732-442-2661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EARLEY",
"first_name": "LYNDA",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"credential": "R.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NJ",
"license": "26NO09901200",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0011801",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Perth Amboy, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.