Individual provider Active NPI

Erica L Lydon, NP

  • Nurse Practitioner
  • Troy, NY
National Provider Identifier
1780933994
Registry record updated Jan 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
337354 Issued in NY
Practice address
720 Hoosick Rd
Troy, NY 12180-6673
Phone
(518) 687-9781
NPI assigned
Sep 4, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 337354 NY
Family Nurse Practitioner 363LF0000X 26NJ00446600 NJ
Nurse Practitioner 363L00000X 337354 NY Primary

Addresses

Primary practice location

720 Hoosick Rd
Troy, NY 12180-6673

Mailing address

109 Robin St Apt 21
Albany, NY 12208-3842
Phone (315) 572-6121

Other practice location 1

182 South St
Ste 1
Morristown, NJ 07960-5350
Phone (973) 267-0300 ext. 117

Other practice location 2

414 Maple Ave Ste 300
Saratoga Springs, NY 12866-5533
Phone (518) 587-9243

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
337354NYMDOrthopaedic Surgery Physician
26NJ00446600NJMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1346716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548115200000",
    "number": "1780933994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 ROBIN ST APT 21",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083842",
            "telephone_number": "315-572-6121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 HOOSICK RD",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121806673",
            "telephone_number": "518-687-9781"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "182 SOUTH ST",
            "address_2": "STE 1",
            "address_purpose": "LOCATION",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079605350",
            "country_code": "US",
            "telephone_number": "973-267-0300 x117",
            "fax_number": "973-984-2670",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "414 Maple Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Saratoga Springs",
            "state": "NY",
            "postal_code": "128665533",
            "country_code": "US",
            "telephone_number": "518-587-9243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYDON",
        "first_name": "ERICA",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-04",
        "last_updated": "2019-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "337354",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00446600",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "337354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; 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.