Miccal A. Scott-Lyew, AGPC-NP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

26NJO1148500 Issued in NJ

Practice address

28 Valley Rd # 148
Montclair, NJ 07042-2709

Phone

(973) 559-4600

Fax

(855) 998-4358

NPI assigned

Mar 8, 2021

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

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Harmony Medical Services of New Jersey LLC

  • Family Medicine Physician
  • Montclair, NJ
  • NPI 1649873183
  Medicare reassignment NPD
• MVLD Consulting LLC

  • Public Health & General Preventive Medicine Physician
  • South Plainfield, NJ
  • NPI 1053088856
  NPD Authorized official
• Harmony Medical Services of New Jersey LLC

  • Family Medicine Physician
  • Montclair, NJ
  • NPI 1356048573
  NPD
• Pottstown Clinic Company LLC

  • Family Medicine Physician
  • Pottstown, PA
  • NPI 1649341934
  NPD (past)

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

{
    "created_epoch": "1615161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1720673171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 MOUNTAIN BLVD STE 203",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070592640",
            "telephone_number": "908-574-1267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 VALLEY RD # 148",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422709",
            "telephone_number": "973-559-4600",
            "fax_number": "855-998-4358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT-LYEW",
        "first_name": "MICCAL",
        "middle_name": "A.",
        "credential": "AGPC-NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-08",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NJ",
            "license": "26NJO1148500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet T Schultz Leon, PHD
• Elaine Janis Schwartz, MS, OTR/L
• Richard Schwartz, PSY.D.
• Zachary Schwartz, MSW, LCSW
• Scott Bienenfeld, MD LLC
• Jacqueline Scott
• Nafeesah Scott, DOULA
• Brian Seales, OTA AND OTD 2026
• Charlena Denise Sears, PSY.D.
• Carvel Seepersad, MS

• Primary Care Nurse Practitioner in Montclair, NJ
• Providers in Montclair, NJ by specialty
• Primary Care Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; 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.