Individual provider Active NPI

Jennifer Ruth Lynn, MD

  • Ophthalmology Physician
  • Ardmore, PA
National Provider Identifier
1659390482
Registry record updated Sep 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
421687 Issued in PA
Practice address
100 Church Rd
Ardmore, PA 19003-2316
Phone
(610) 679-7616
Fax
(215) 482-8456
NPI assigned
Jul 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 421687 PA Primary

Addresses

Primary practice location

100 Church Rd
Ardmore, PA 19003-2316

Mailing address

424 Conestoga Rd
Malvern, PA 19355-1010
Phone (610) 251-9257

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20040817001311 PA Practitioner - Ophthalmology 6305832973 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Hahneman Medical College of the Pacific, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Accuvision Eye MD Caregroup, PCGroup PAC ID 0244215648, 5 clinicians

Practice addresses (Care Compare)

100 Church Rd
Suite 100
Ardmore, PA 19003-2316
Phone (610) 649-7616

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery46

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
421687PAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Accuvision Eye MD Caregroup, PC Ophthalmology CurrentSince Jul 23, 2007 Accepting new patients
Riddle Eye Associates PC Past Accepting new patients
Douglas J Lavenburg MD PA PastSince Jan 1, 1990 Accepting new patients
Main Line Ophthalmology Associates Ophthalmology PastSince Jul 23, 2007 Accepting new patients

Locations

100 Church Rd
Ste 100
Ardmore, PA 19003
Phone (610) 649-7616

913 Walnut St
Ste 200
Philadelphia, PA 19107

913 Walnut St
Fl 2
Philadelphia, PA 19107
Phone (215) 627-1515

Interoperability endpoints

  • Direct secure messaging: jennifer.lynn.p1@direct.cdestefano.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348012800000",
    "number": "1659390482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 CONESTOGA RD",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193551010",
            "telephone_number": "610-251-9257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CHURCH RD",
            "city": "ARDMORE",
            "state": "PA",
            "postal_code": "190032316",
            "telephone_number": "610-679-7616",
            "fax_number": "215-482-8456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNN",
        "first_name": "JENNIFER",
        "middle_name": "RUTH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2012-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "421687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardmore, PA

Sources for this page

Verify at the official NPI Registry.