Lyons and Chvala Nephrology Assoc.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

MA07132600 Issued in NJ

Legal business name

LYONS AND CHVALA NEPHROLOGY ASSOC.

Practice address

730 N Broad St
Suite 101
Woodbury, NJ 08096-1796

Phone

(856) 384-0238

Fax

(856) 384-4788

NPI assigned

Sep 21, 2007

Organization subpart

No

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

Authorized official

Name

Kristen E Owen

Title

Billing Manager

Phone

(856) 384-0238

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Lyons-Chvala Nephrology Associates

  • Specialist
  • Philadelphia, PA
  • NPI 1316044225

  Member Of

  NPD member

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert P Chvala, M.D.

  • Specialist
  • Woodbury, NJ
  • NPI 1609814094
  Medicare reassignment Care Compare group NPD
• Patricia J Lyons, M.D.

  • Specialist
  • Woodbury, NJ
  • NPI 1063454189
  Medicare reassignment Care Compare group NPD
• Trina Doreen Banerjee, M.D.

  • Nephrology Physician
  • Mullica Hill, NJ
  • NPI 1003042490
  Medicare reassignment NPD

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

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190332800000",
    "number": "1659567725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 N BROAD ST",
            "address_2": "SUITE 101",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080961796",
            "telephone_number": "856-384-0238",
            "fax_number": "856-384-4788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 N BROAD ST",
            "address_2": "SUITE 101",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080961796",
            "telephone_number": "856-384-0238",
            "fax_number": "856-384-4788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYONS AND CHVALA NEPHROLOGY ASSOC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-21",
        "last_updated": "2007-09-21",
        "status": "A",
        "authorized_official_last_name": "OWEN",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "856-384-0238"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "MA07132600",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "MA34314",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8323500",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lourdes Medical Associates, PA
• Thomas P. Love, M.D.
• Paul Luisi
• Sarah Wilson Lurvey, DO
• Luxottica of America Inc.
• Patricia J Lyons, M.D.
• Daniell Macklin, RN
• Marcus Magnet, MD
• Bernadette Frances Mahoney
• Edward Martin Malloy II

• Nephrology Physician in Woodbury, NJ
• Providers in Woodbury, NJ by specialty
• Nephrology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.