Organization Active NPI

Andrew W Lyons, MD

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1710020094
Registry record updated Sep 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
209536 Issued in NY
Legal business name
ANDREW W LYONS, MD
Practice address
222 E 93Rd St
Suite 24D
New York, NY 10128-3744
Phone
(212) 861-3313
Fax
(212) 987-2394
NPI assigned
Feb 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2012

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

Authorized official

Name
Dr. Andrew William Lyons, MDNPI 1871511162
Title
Physician Owner
Phone
(917) 576-6895

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X 209536 NY Primary

Addresses

Primary practice location

222 E 93Rd St
Suite 24D
New York, NY 10128-3744

Mailing address

PO Box 8503
Pelham, NY 10803-8503
Phone (917) 576-6895

Other identifiers 1

IdentifierTypeStateIssuer
01961242MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348185600000",
    "number": "1710020094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8503",
            "city": "PELHAM",
            "state": "NY",
            "postal_code": "108038503",
            "telephone_number": "917-576-6895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 E 93RD ST",
            "address_2": "SUITE 24D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101283744",
            "telephone_number": "212-861-3313",
            "fax_number": "212-987-2394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW W LYONS, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2012-09-21",
        "status": "A",
        "authorized_official_last_name": "LYONS",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "917-576-6895",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "209536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01961242",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.