Individual provider Active NPI

Lynn N. Durmala, APN

  • Family Nurse Practitioner
  • Marlton, NJ
National Provider Identifier
1790152544
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00654100 Issued in NJ
Practice address
536 Lippincott Dr
Marlton, NJ 08053-4805
Phone
(856) 355-7155
Fax
(856) 325-4798
NPI assigned
Aug 27, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP015772 PA
Family Nurse Practitioner 363LF0000X 26NJ00654100 NJ Primary

Addresses

Primary practice location

536 Lippincott Dr
Marlton, NJ 08053-4805

Mailing address

301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197

Other practice location 1

1600 Haddon Ave
Camden, NJ 08103-3101
Phone (856) 580-6466

Other practice location 2

1 Brace Rd Ste C5
Cherry Hill, NJ 08034-2600
Phone (856) 355-7155

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
I20170320002113 NJ Practitioner - Nurse Practitioner 5597056002 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00654100NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospice at Lsmnj, Inc. CurrentSince Mar 19, 2021 Accepting new patients
Virtua Medical Group, PA Current Accepting new patients
Virtua Medical Group, PA CurrentSince Sep 1, 2024 Accepting new patients
Virtua Medical Group, PA CurrentSince Sep 1, 2024 Accepting new patients

Locations

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

3 Manhattan Dr
Burlington, NJ 08016
Phone (609) 386-7171

1600 Haddon Ave
Camden, NJ 08103
Phone (609) 757-3500

1 Brace Rd
Ste C5
Cherry Hill, NJ 08034
Phone (856) 355-7155

6712 Washington Ave
Ste 302
Egg Harbor Township, NJ 08234
Phone (609) 380-4302

301 Lippincott Dr
Ste 410
Marlton, NJ 08053

536 Lippincott Dr
Marlton, NJ 08053
Phone (856) 355-7155

Organizations & group practices 4

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": "1440633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1790152544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LIPPINCOTT DR STE 410",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "536 LIPPINCOTT DR",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534805",
            "telephone_number": "856-355-7155",
            "fax_number": "856-325-4798"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 Haddon Ave",
            "address_purpose": "LOCATION",
            "city": "Camden",
            "state": "NJ",
            "postal_code": "081033101",
            "country_code": "US",
            "telephone_number": "856-580-6466",
            "fax_number": "856-365-7974",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Brace Rd Ste C5",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080342600",
            "country_code": "US",
            "telephone_number": "856-355-7155",
            "fax_number": "856-325-4798",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DURMALA",
        "first_name": "LYNN",
        "middle_name": "N.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-27",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP015772",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00654100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

Verify at the official NPI Registry.