NPIMap

Individual provider Active NPI

Darla Elizabeth Lynch, M.D.

  • Family Medicine Physician
  • Malverne, NY
National Provider Identifier
1679767180
Registry record updated Feb 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
204208 Issued in NY
Practice address
4 Weber Ave
Malverne, NY 11565-1742
Phone
(516) 599-3999
Fax
(516) 887-8106
NPI assigned
Aug 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 204208 NY Primary

Addresses

Primary practice location

4 Weber Ave
Malverne, NY 11565-1742

Mailing address

218 Marcy St
West Babylon, NY 11704-3405
Phone (631) 669-5565

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081215000330 NY Practitioner - Family Practice 7719049444 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
State University of New York at Stony Brook, School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
E.Lila Augoustiniatos, MD, PCGroup PAC ID 7911994140, 3 clinicians

Practice addresses (Care Compare)

100 Terry Rd
Smithtown, NY 11787-3811
Phone (631) 979-7400

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
E.Lila Augoustiniatos, MD, PC CurrentSince Oct 6, 2015 Accepting new patients
Long Island Integrative Functional Medicine, PC PastSince Oct 6, 2015 Accepting new patients

Locations

100 Terry Rd
Smithtown, NY 11787
Phone (631) 979-7301

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1188345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360022400000",
    "number": "1679767180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 MARCY ST",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117043405",
            "telephone_number": "631-669-5565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 WEBER AVE",
            "city": "MALVERNE",
            "state": "NY",
            "postal_code": "115651742",
            "telephone_number": "516-599-3999",
            "fax_number": "516-887-8106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "DARLA",
        "middle_name": "ELIZABETH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-29",
        "last_updated": "2013-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "204208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malverne, NY

Sources for this page

Verify at the official NPI Registry.