Active NPI
Steven Lorynski, DPM
- Podiatrist
- Burlington, NJ
National Provider Identifier
1619907896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 25MD00216300
- Practice address
- 2020 Bustleton Rd
Burlington, NJ 08016-9732 - Phone
- (609) 447-0474
- Fax
- (609) 473-2919
- NPI assigned
- Jul 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 25MD00216300 | NJ | Primary |
Addresses
Primary practice location
2020 Bustleton Rd
Burlington, NJ 08016-9732
Mailing address
2020 Bustleton Rd
Burlington, NJ 08016-9732
Phone (609) 447-0474
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730414 | Other | NJ | UNITED HEALTH CARE |
| P61601 | Other | WELL CHOICE | |
| 1119368 | Other | HORIZON MERAN | |
| 5479509 | Medicaid | NJ | |
| F06631 | Other | HEALTH NET | |
| 24821 | Other | AMERIGROUP | |
| 0228607001 | Other | AMERIHEALTH | |
| 0788510001 | Other | NJ | MEDICARE NSC |
| 480015880 | Other | MEDICARE RAILROAD | |
| MES189 | Other | NJ | OXFORD |
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100122000690 | NJ | Practitioner - Podiatry | 7911049309 | Practice locations: Burlington, NJ |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MD00216300 | NJ | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480809600000",
"number": "1619907896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 BUSTLETON RD",
"city": "BURLINGTON",
"state": "NJ",
"postal_code": "080169732",
"telephone_number": "609-447-0474",
"fax_number": "609-473-2919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 BUSTLETON RD",
"city": "BURLINGTON",
"state": "NJ",
"postal_code": "080169732",
"telephone_number": "609-447-0474",
"fax_number": "609-473-2919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LORYNSKI",
"first_name": "STEVEN",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-04",
"last_updated": "2016-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NJ",
"license": "25MD00216300",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "1730414",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELL CHOICE",
"identifier": "P61601",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON MERAN",
"identifier": "1119368",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5479509",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "F06631",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "24821",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "0228607001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE NSC",
"identifier": "0788510001",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "480015880",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "MES189",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Burlington, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.