Individual provider Active NPI

Lynn Eiding, NP

  • Nurse Practitioner
  • Medford, NJ
National Provider Identifier
1700839685
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NN07783400 Issued in NJ
Practice address
128 Route 70 Ste 1
Medford, NJ 08055-2371
Phone
(609) 367-0900
Fax
(609) 367-0901
NPI assigned
May 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 36NC07783400 NJ
Nurse Practitioner 363L00000X 26NN07783400 NJ Primary

Addresses

Primary practice location

128 Route 70 Ste 1
Medford, NJ 08055-2371

Mailing address

2083 Lawrenceville Road
Rider University
Lawrenceville, NJ 08648-3099
Phone (609) 896-5060

Other practice location 1

2083 Lawrenceville Road
Rider University
Lawrenceville, NJ 08648-3099
Phone (609) 896-5060

Other practice location 2

315 Route 70 E Ste A
Cherry Hill, NJ 08034-2408
Phone (856) 375-6240

Other practice location 3

555 High St Ste 16A
Mount Holly, NJ 08060-1084
Phone (609) 444-5610

Other practice location 4

158 Route 73 Ste B
Voorhees, NJ 08043-9539
Phone (856) 247-7230

Other practice location 5

239 Hurffville Crosskeys Rd Ste 160
Sewell, NJ 08080-4005
Phone (856) 341-8200

Other practice location 6

141 Bridgeton Pike Unit B
Mullica Hill, NJ 08062-2615
Phone (856) 746-0206

Other practice location 7

602 W Cuthbert Blvd Unit 26
Haddon Township, NJ 08108-3642
Phone (856) 946-5180

Other practice location 8

401 Young Ave Ste 180 Front
Moorestown, NJ 08057-3139
Phone (856) 291-8600

Other identifiers 1

IdentifierTypeStateIssuer
8184500MedicaidNJ

Electronic endpoints 9

TypeEndpointUseAffiliation
Direct Messaging Address leiding13486@directvirtua.org
Direct Messaging Address leiding13486@directvirtua.org
Direct Messaging Address leiding13486@directvirtua.org
CONNECT URL leiding13486@directvirtua.org
Direct Messaging Address leiding13486@directvirtua.org
Direct Messaging Address leiding13486@directvirtua.org
Direct Messaging Address leiding13486@directvirtua.org
Direct Messaging Address leiding13486@directvirtua.org
Direct Messaging Address leiding13486@directvirtua.org

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
I20040712000632 NJ Practitioner - Nurse Practitioner 3274511837 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virtua Medical Group, PAGroup PAC ID 9830222397, 1,678 clinicians

Practice addresses (Care Compare)

128 Route 70
Medford, NJ 08055-2371

305 Route 70 E
Cherry Hill, NJ 08034-2408

315 Route 70 E
Vitua Express Urgent Care Cherry Hill
Cherry Hill, NJ 08034-2408
Phone (856) 375-6240

3242 Route 206
Bordentown, NJ 08505-4517

401 Young Ave
Moorestown, NJ 08057-3130

602 W Cuthbert Blvd
Unit 26
Haddon Township, NJ 08108-3642
Phone (856) 946-5180

Merit-based Incentive Payment System (MIPS)

Final score
81.15 of 100Reported as group
Quality
62.28
Promoting interoperability
100
Improvement activities
40
Cost
74.89

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36NC07783400NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA Nurse Practitioner CurrentSince Jul 1, 2015 Accepting new patients
Virtua Medical Group, PA CurrentSince Jul 1, 2015 Accepting new patients
Tabernacle Family Physicians LLC Past Accepting new patients
Atlantic Emergency Associates, PA PastSince Feb 8, 2023 Accepting new patients
Atlantic Professional Services of New Jersey, P.a. Nurse Practitioner Past Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

315 Route 70 E
Ste A
Cherry Hill, NJ 08034
Phone (856) 375-6240

602 W Cuthbert Blvd
Unit 26
Haddon Township, NJ 08108
Phone (856) 946-5180

141 Route 70 E
Ste E
Marlton, NJ 08053
Phone (856) 985-7373

303 Lippincott Dr
Marlton, NJ 08053

128 Route 70
Ste 1
Medford, NJ 08055
Phone (609) 367-0900

401 Young Ave
Ste 180
Moorestown, NJ 08057
Phone (856) 291-8600

555 High St
Ste 16A
Mount Holly, NJ 08060
Phone (609) 444-5610

175 Madison Ave
Mount Holly, NJ 08060
Phone (609) 261-1660

141 Bridgeton Pike
Unit B
Mullica Hill, NJ 08062
Phone (856) 746-0206

239 Hurffville Crosskeys Rd
Ste 160
Sewell, NJ 08080
Phone (856) 341-8200

158 Route 73
#B
Voorhees, NJ 08043
Phone (856) 247-7230

Interoperability endpoints

  • Direct secure messaging: leiding13486@directvirtua.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.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1700839685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2083 LAWRENCEVILLE ROAD",
            "address_2": "RIDER UNIVERSITY",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086483099",
            "telephone_number": "609-896-5060",
            "fax_number": "609-895-5682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 ROUTE 70 STE 1",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080552371",
            "telephone_number": "609-367-0900",
            "fax_number": "609-367-0901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2083 Lawrenceville Road",
            "address_2": "Rider University",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "NJ",
            "postal_code": "086483099",
            "country_code": "US",
            "telephone_number": "609-896-5060",
            "fax_number": "609-895-5682",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "315 Route 70 E Ste A",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080342408",
            "country_code": "US",
            "telephone_number": "856-375-6240",
            "fax_number": "856-375-6241",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "555 High St Ste 16A",
            "address_purpose": "LOCATION",
            "city": "Mount Holly",
            "state": "NJ",
            "postal_code": "080601084",
            "country_code": "US",
            "telephone_number": "609-444-5610",
            "fax_number": "609-444-5611",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "158 Route 73 Ste B",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "080439539",
            "country_code": "US",
            "telephone_number": "856-247-7230",
            "fax_number": "856-247-7231",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "239 Hurffville Crosskeys Rd Ste 160",
            "address_purpose": "LOCATION",
            "city": "Sewell",
            "state": "NJ",
            "postal_code": "080804005",
            "country_code": "US",
            "telephone_number": "856-341-8200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "141 Bridgeton Pike Unit B",
            "address_purpose": "LOCATION",
            "city": "Mullica Hill",
            "state": "NJ",
            "postal_code": "080622615",
            "country_code": "US",
            "telephone_number": "856-746-0206",
            "fax_number": "856-746-0207",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "602 W Cuthbert Blvd Unit 26",
            "address_purpose": "LOCATION",
            "city": "Haddon Township",
            "state": "NJ",
            "postal_code": "081083642",
            "country_code": "US",
            "telephone_number": "856-946-5180",
            "fax_number": "856-946-5181",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 Young Ave Ste 180 Front",
            "address_purpose": "LOCATION",
            "city": "Moorestown",
            "state": "NJ",
            "postal_code": "080573139",
            "country_code": "US",
            "telephone_number": "856-291-8600",
            "fax_number": "856-291-8610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EIDING",
        "first_name": "LYNN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "36NC07783400",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NN07783400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8184500",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "leiding13486@directvirtua.org",
            "affiliation": "N",
            "address_1": "602 W Cuthbert Blvd Unit 26",
            "city": "Haddon Township",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "081083642",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "leiding13486@directvirtua.org",
            "affiliation": "N",
            "address_1": "128 Route 70 Ste 1",
            "city": "Medford",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080552371",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "leiding13486@directvirtua.org",
            "affiliation": "N",
            "address_1": "555 High St Ste 16A",
            "city": "Mount Holly",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080601084",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "leiding13486@directvirtua.org",
            "affiliation": "N",
            "address_1": "239 Hurffville Crosskeys Rd Ste 160",
            "city": "Sewell",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080804005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "leiding13486@directvirtua.org",
            "affiliation": "N",
            "address_1": "158 Route 73 Ste B",
            "city": "Voorhees",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080439539",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "leiding13486@directvirtua.org",
            "affiliation": "N",
            "address_1": "315 Route 70 E Ste A",
            "city": "Cherry Hill",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080342408",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "leiding13486@directvirtua.org",
            "affiliation": "N",
            "address_1": "141 Bridgeton Pike Unit B",
            "city": "Mullica Hill",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080622615",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "leiding13486@directvirtua.org",
            "affiliation": "N",
            "address_1": "401 Young Ave Ste 180 Front",
            "city": "Moorestown",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080573139",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "leiding13486@directvirtua.org",
            "affiliation": "N",
            "address_1": "239 Hurffville Crosskeys Rd Ste 160",
            "city": "Sewell",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080804005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Medford, NJ

Sources for this page

Verify at the official NPI Registry.