Individual provider Active NPI

Derek George Lyon, NP

  • Acute Care Nurse Practitioner
  • New York, NY
National Provider Identifier
1679721112
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
430382 Issued in NY
Practice address
39 W 14TH St Ste 204
New York, NY 10011-7406
Phone
(646) 928-0277
Fax
(646) 928-0269
NPI assigned
Sep 8, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 430382 NY Primary

Addresses

Primary practice location

39 W 14TH St Ste 204
New York, NY 10011-7406

Mailing address

39 W 14TH St Ste 204
New York, NY 10011-7406
Phone (646) 928-0277

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120831000543 NJ Practitioner - Nurse Practitioner 6305093006 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Columbia University College of Physicians and Surgeons, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hunterdon Specialty CareGroup PAC ID 4587966601, 94 clinicians

Practice addresses (Care Compare)

6 Sand Hill Rd
Suite 202
Flemington, NJ 08822-4946
Phone (908) 237-4080

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.94 of 100Reported as group
Quality
79.98
Promoting interoperability
97
Improvement activities
40
Cost
72.34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
430382NYMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hunterdon Specialty Care, PC CurrentSince Mar 22, 2017 Accepting new patients
Cogent Healthcare of New Jersey, PC CurrentSince Apr 1, 2016 Accepting new patients
Hospitalist Medicine Physicians of Pennsylvania, P.C. CurrentSince Apr 1, 2016 Accepting new patients
Hunterdon Specialty Care PC Current Accepting new patients
Hunterdon Specialty Care CurrentSince Mar 22, 2017 Accepting new patients

Locations

1251 US Highway 22
Bridgewater, NJ 08807
Phone (908) 237-4108

6 Sand Hill Rd
Ste 202
Flemington, NJ 08822
Phone (908) 237-4080

215 State Route 31
#116
Flemington, NJ 08822

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

Interoperability endpoints

  • Direct secure messaging: dlyon481491@direct.ahsys.org

Organizations & group practices 5

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 1

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": "1220832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1679721112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 W 14TH ST STE 204",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100117406",
            "telephone_number": "646-928-0277",
            "fax_number": "646-928-0269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 W 14TH ST STE 204",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100117406",
            "telephone_number": "646-928-0277",
            "fax_number": "646-928-0269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYON",
        "first_name": "DEREK",
        "middle_name": "GEORGE",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-08",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NY",
            "license": "430382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.