Active NPI
Barbara A Lyall, RNP
- Nurse Practitioner
- Bronx, NY
National Provider Identifier
1619071032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- F300959
- Practice address
- MMC - Dept. of Neurosurgery
3316 Rochambeau Avenue
Bronx, NY 10467 - Phone
- (718) 920-2896
- NPI assigned
- Sep 8, 2006
- Last updated
- Jul 8, 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | F300959 | NY | Primary |
Addresses
Primary practice location
MMC - Dept. of Neurosurgery
3316 Rochambeau Avenue
Bronx, NY 10467
Mailing address
20 River Rd Apt C
Nutley, NJ 07110-3471
Phone (718) 920-7474
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F300959 | NY | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619071032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 RIVER RD APT C",
"city": "NUTLEY",
"state": "NJ",
"postal_code": "071103471",
"telephone_number": "718-920-7474",
"fax_number": "718-515-8235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MMC - DEPT. OF NEUROSURGERY",
"address_2": "3316 ROCHAMBEAU AVENUE",
"city": "BRONX",
"state": "NY",
"postal_code": "10467",
"telephone_number": "718-920-2896"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYALL",
"first_name": "BARBARA",
"middle_name": "A",
"credential": "RNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "F300959",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
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.