Individual provider Active NPI

David Lynch, MD

  • Surgery Physician
  • Mullica Hill, NJ
National Provider Identifier
1699776781
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
25MA05942300 Issued in NJ
Practice address
698 Mullica Hill Rd BLDG 3
Mullica Hill, NJ 08062-4452
Phone
(856) 508-3708
Fax
(856) 221-4103
NPI assigned
Aug 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 25MA05942300 NJ Primary

Addresses

Primary practice location

698 Mullica Hill Rd BLDG 3
Mullica Hill, NJ 08062-4452

Mailing address

698 Mullica Hill Road
Outpatient BLDG. 3Rd Floor
Mullica Hill, NJ 08062
Phone (856) 508-3708

Other identifiers 1

IdentifierTypeStateIssuer
6748601MedicaidNJ

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040423000498 NJ Practitioner - Vascular SurgeryPractitioner - General Surgery 2860488988 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Jefferson Medical College of Thomas Jefferson University, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inspira Health Network Medical Group PCGroup PAC ID 4880797570, 238 clinicians

Practice addresses (Care Compare)

698 Mullica Hill Rd
Suite 320
Mullica Hill, NJ 08062-4453
Phone (856) 508-3708

Hospital & facility affiliations

  • Bayada at Inspira, Home Health and Hospice Home health agency, Millville, NJ, CCN 317089
  • Inspira Medical Center Mullica Hill Hospital, Elmer, NJ, CCN 310069

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)11
Mastectomy1-10
Varicose vein removal29
Melanoma (skin cancer) excision1-10
Removal of tissue257
Removal of skin lesions14
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA05942300NJMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inspira Health Network Medical Group, P.C. CurrentSince Jan 1, 2014 Accepting new patients

Locations

1120 Delsea Dr N
Glassboro, NJ 08028
Phone (856) 205-7071

525 Route 73 S
Ste 305A
Marlton, NJ 08053
Phone (609) 267-7050

698 Mullica Hill Rd
Ste 320
Mullica Hill, NJ 08062
Phone (856) 508-3708

698 Mullica Hill Rd
Bldg 3RD
Mullica Hill, NJ 08062

698 Mullica Hill Rd
Bldg 3
Mullica Hill, NJ 08062
Phone (856) 508-3708

798 Centerton Rd
Pittsgrove, NJ 08318
Phone (856) 358-6161

17 W Red Bank Ave
Ste 203
Woodbury, NJ 08096
Phone (856) 845-1818

17 W Red Bank Ave
Woodbury, NJ 08096
Phone (609) 488-0920

Organizations & group practices 1

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 5

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": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1699776781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "698 MULLICA HILL ROAD",
            "address_2": "OUTPATIENT BLDG. 3RD FLOOR",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "08062",
            "telephone_number": "856-508-3708",
            "fax_number": "856-221-4103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "698 MULLICA HILL RD BLDG 3",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080624452",
            "telephone_number": "856-508-3708",
            "fax_number": "856-221-4103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA05942300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6748601",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mullica Hill, NJ

Sources for this page

Verify at the official NPI Registry.