Active NPI
William Lyons, PA
- Physician Assistant
- East Setauket, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 45 Research Way Ste 108
East Setauket, NY 11733-6401 - Phone
- (631) 941-2000
- NPI assigned
- Jun 29, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
45 Research Way Ste 108
East Setauket, NY 11733-6401
Mailing address
16 Dana LN
Smithtown, NY 11787-2313
Phone (631) 747-5576
Other names 1
- Billy Lyons
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- State University of New York at Stony Brook, School of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
100 Granny Rd
Suite 1
Farmingville, NY 11738-2879
Phone (631) 696-4357
2 Coraci Blvd
Suite 16
Shirley, NY 11967-4833
Phone (631) 696-4357
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CS Medical Associates, P.C. | Current | Accepting new patients |
Locations
100 Granny Rd
Ste 1
Farmingville, NY 11738
Phone (631) 666-1234
1377 Motor Pkwy
Ste 102
Islandia, NY 11749
2 Coraci Blvd
Ste 1516
Shirley, NY 11967
Phone (631) 315-2320
2 Coraci Blvd
Ste 16
Shirley, NY 11967
Interoperability endpoints
- wlyons@victoryrecovery.medentdirect.com
Organizations & group practices 2
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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Farmingville, NY
- NPI 1992210231
-
- Counselor
- Amityville, NY
- NPI 1790653236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624924800000",
"number": "1750951992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 DANA LN",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117872313",
"telephone_number": "631-747-5576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 RESEARCH WAY STE 108",
"city": "EAST SETAUKET",
"state": "NY",
"postal_code": "117336401",
"telephone_number": "631-941-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYONS",
"first_name": "WILLIAM",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-29",
"last_updated": "2021-06-29",
"certification_date": "2021-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BILLY",
"last_name": "LYONS",
"credential": "PA",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in East Setauket, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.