Individual provider Active NPI

Nyan Lynn Latt, MD

  • Transplant Hepatology Physician
  • Camden, NJ
National Provider Identifier
1598086290
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transplant Hepatology PhysicianTaxonomy code 207RT0003X
License
25MA10867000 Issued in NJ
Practice address
1601 Haddon Ave Ste C
Camden, NJ 08103-3109
Phone
(856) 757-3840
Fax
(856) 757-3519
NPI assigned
Jun 16, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hepatology Physician 207RI0008X 305251 LA
Gastroenterology Physician 207RG0100X ME128155 FL
Transplant Hepatology Physician 207RT0003X 25MA10867000 NJ Primary

Addresses

Primary practice location

1601 Haddon Ave Ste C
Camden, NJ 08103-3109

Mailing address

301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197
Phone (856) 757-3840

Other practice location 1

1198 Lakewood Rd Second Floor A
Toms River, NJ 08753-2237
Phone (856) 796-9340

Other practice location 2

63 Kresson Rd Ste 101C
Cherry Hill, NJ 08034-3200
Phone (856) 796-9340

Other practice location 3

1201 New Rd Ste 150F
Linwood, NJ 08221-1100
Phone (856) 796-9340

Other practice location 4

63 Kresson Rd Ste 104C
Cherry Hill, NJ 08034-3200
Phone (856) 796-9340

Other practice location 5

239 Hurffville Crosskeys Rd Ste 360D
Sewell, NJ 08080-4002
Phone (856) 796-9340

Other practice location 6

3242 Route 206 Bldg A
Bordentown, NJ 08505-4517
Phone (856) 796-9340

Other identifiers 1

IdentifierTypeStateIssuer
0754323MedicaidNJ

Electronic endpoints 9

TypeEndpointUseAffiliation
Direct Messaging Address nlatt190100@directvirtua.org
Direct Messaging Address nlatt190100@directvirtua.org
Direct Messaging Address nlatt190100@directvirtua.org
Direct Messaging Address nlatt190100@directvirtua.org
CONNECT URL nlatt190100@directvirtua.org
CONNECT URL nlatt190100@directvirtua.org
Direct Messaging Address nlatt190100@directvirtua.org
CONNECT URL nlatt190100@directvirtua.org
Direct Messaging Address nlatt190100@directvirtua.org

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200819000449 NJ Practitioner - GastroenterologyPractitioner - Internal Medicine 7113178971 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Virtua Medical Group, PAGroup PAC ID 9830222397, 1,678 clinicians

Practice addresses (Care Compare)

1600 Haddon Ave
Camden, NJ 08103-3101

1601 Haddon Ave
Camden, NJ 08103-3109
Phone (856) 757-3840

239 Hurffville Crosskeys Rd
Suite 245
Sewell, NJ 08080-4006
Phone (856) 341-8300

3242 Route 206
Bordentown, NJ 08505-4517

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
305251LAMDHepatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA CurrentSince Jun 1, 2021 Accepting new patients
Virtua Medical Group, PA Gastroenterology Current Accepting new patients
Pulmonary and Sleep Associates of South Jersey, LLC Past Accepting new patients

Locations

3242 Route 206
Ste 4
Bordentown, NJ 08505

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

1601 Haddon Ave
#A1
Camden, NJ 08103

1601 Haddon Ave
Ste C
Camden, NJ 08103
Phone (856) 796-3840

63 Kresson Rd
Ste A1
Cherry Hill, NJ 08034

1201 New Rd
Ste 150F
Linwood, NJ 08221

301 Lippincott Dr
Ste 410
Marlton, NJ 08053

239 Hurffville Crosskeys Rd
Ste 360D
Sewell, NJ 08080
Phone (856) 374-4440

1198 Route 166
Ste 2
Toms River, NJ 08753
Phone (732) 784-6550

Interoperability endpoints

  • Direct secure messaging: nlatt190100@directvirtua.org

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 and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1276646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1598086290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LIPPINCOTT DR STE 410",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534197",
            "telephone_number": "856-757-3840",
            "fax_number": "856-757-3519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 HADDON AVE STE C",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081033109",
            "telephone_number": "856-757-3840",
            "fax_number": "856-757-3519"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1198 Lakewood Rd Second Floor A",
            "address_purpose": "LOCATION",
            "city": "Toms River",
            "state": "NJ",
            "postal_code": "087532237",
            "country_code": "US",
            "telephone_number": "856-796-9340",
            "fax_number": "856-547-0390",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "63 Kresson Rd Ste 101C",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080343200",
            "country_code": "US",
            "telephone_number": "856-796-9340",
            "fax_number": "856-547-0390",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 New Rd Ste 150F",
            "address_purpose": "LOCATION",
            "city": "Linwood",
            "state": "NJ",
            "postal_code": "082211100",
            "country_code": "US",
            "telephone_number": "856-796-9340",
            "fax_number": "856-547-0390",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "63 Kresson Rd Ste 104C",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080343200",
            "country_code": "US",
            "telephone_number": "856-796-9340",
            "fax_number": "856-547-0390",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "239 Hurffville Crosskeys Rd Ste 360D",
            "address_purpose": "LOCATION",
            "city": "Sewell",
            "state": "NJ",
            "postal_code": "080804002",
            "country_code": "US",
            "telephone_number": "856-796-9340",
            "fax_number": "856-547-0390",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3242 Route 206 Bldg A",
            "address_purpose": "LOCATION",
            "city": "Bordentown",
            "state": "NJ",
            "postal_code": "085054517",
            "country_code": "US",
            "telephone_number": "856-796-9340",
            "fax_number": "856-547-0390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LATT",
        "first_name": "NYAN",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-16",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0008X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hepatology",
            "state": "LA",
            "license": "305251",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME128155",
            "primary": false
        },
        {
            "code": "207RT0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Transplant Hepatology",
            "state": "NJ",
            "license": "25MA10867000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0754323",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nlatt190100@directvirtua.org",
            "affiliation": "N",
            "address_1": "63 Kresson Rd Ste 101C",
            "city": "Cherry Hill",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080343200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nlatt190100@directvirtua.org",
            "affiliation": "N",
            "address_1": "1601 Haddon Ave Ste C",
            "city": "Camden",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "081033109",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nlatt190100@directvirtua.org",
            "affiliation": "N",
            "address_1": "1601 Haddon Ave # A-1",
            "city": "Camden",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "081033109",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nlatt190100@directvirtua.org",
            "affiliation": "N",
            "address_1": "239 Hurffville Crosskeys Rd Ste 360D",
            "city": "Sewell",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080804002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "nlatt190100@directvirtua.org",
            "affiliation": "N",
            "address_1": "63 Kresson Rd Ste A-1",
            "city": "Cherry Hill",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080343200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "nlatt190100@directvirtua.org",
            "affiliation": "N",
            "address_1": "3242 Route 206 Building A, Suite A4",
            "city": "Bordentown",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "08505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nlatt190100@directvirtua.org",
            "affiliation": "N",
            "address_1": "1201 New Rd Ste 150F",
            "city": "Linwood",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "082211100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "nlatt190100@directvirtua.org",
            "affiliation": "N",
            "address_1": "1198 Lakewood Rd Second Floor A",
            "city": "Toms River",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "087532237",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nlatt190100@directvirtua.org",
            "affiliation": "N",
            "address_1": "63 Kresson Rd Ste 104C",
            "city": "Cherry Hill",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080343200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Camden, NJ

Sources for this page

Verify at the official NPI Registry.