Amanda Lyman

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

1234567890 Issued in NJ

Practice address

81 Pine Brae LN
Clifton, NJ 07012-1218

Phone

(862) 485-6105

NPI assigned

Apr 12, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1712880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1699529016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 PINE BRAE LN",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070121218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 PINE BRAE LN",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070121218",
            "telephone_number": "862-485-6105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYMAN",
        "first_name": "AMANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-12",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NJ",
            "license": "1234567890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marco Lucci, PHARMD
• Lucila Medical PC
• Rafael R Lucila, M.D.
• Barbara B Luxenberg, MA OTR
• Luxottica of America Inc
• Lyndhurst Medical Assoc., P.a.
• M.H.Amir Zanjanian, M.D., PA
• M2C Engineering Inc
• Alexander Ma
• Lynn M Maas, M.S.W.

• Pediatric Nurse Practitioner in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Pediatric Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; 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.

Verify at the official NPI Registry.