Active NPI
Deborah A Lynch, MS APRN, BC COHN-S
- Adult Health Nurse Practitioner
- New York, NY
National Provider Identifier
1588865976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- F331307-1
- Practice address
- 300 W 57TH St
Hearst Corp. Wellness Center 14TH Floor
New York, NY 10019-3741 - Phone
- (212) 649-2748
- Fax
- (212) 649-2739
- NPI assigned
- May 31, 2007
- Last updated
- Jul 17, 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | F331307-1 | NY | Primary |
Addresses
Primary practice location
300 W 57TH St
Hearst Corp. Wellness Center 14TH Floor
New York, NY 10019-3741
Mailing address
200 E End Ave
10 J
New York, NY 10128-7831
Phone (212) 722-4168
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F331307-1 | NY | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premise Health of New York Medical PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Hearst Wellness Center
- Primary Care Clinic/Center
- New York, NY
- NPI 1942660469
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184630400000",
"number": "1588865976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 E END AVE",
"address_2": "10 J",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101287831",
"telephone_number": "212-722-4168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 W 57TH ST",
"address_2": "HEARST CORP. WELLNESS CENTER 14TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100193741",
"telephone_number": "212-649-2748",
"fax_number": "212-649-2739"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYNCH",
"first_name": "DEBORAH",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "MS APRN, BC COHN-S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-31",
"last_updated": "2007-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "F331307-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.