Active NPI
Mark P Lynch, DC
- Chiropractor
- Bayville, NJ
National Provider Identifier
1851362016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- MC03550
- Practice address
- 222 Serpentine Dr
Bayville, NJ 08721-3227 - Phone
- (732) 269-2225
- Fax
- (732) 237-9825
- NPI assigned
- Jan 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | MC03550 | NJ | Primary |
Addresses
Primary practice location
222 Serpentine Dr
Bayville, NJ 08721-3227
Mailing address
222 Serpentine Dr
Bayville, NJ 08721-3227
Phone (732) 269-2225
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0418706000 | Other | NJ | AMERIHEALTH |
| P826862 | Other | NJ | OXFORD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111216000238 | NJ | Practitioner - Chiropractic | 6103091368 | Practice locations: Bayville, NJ |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
222 Serpentine Dr
Bayville, NJ 08721-3227
Vip Chiropractic
222 Serpentine Drive
Bayville, NJ 08721-3227
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC03550 | NJ | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320710400000",
"number": "1851362016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 SERPENTINE DR",
"city": "BAYVILLE",
"state": "NJ",
"postal_code": "087213227",
"telephone_number": "732-269-2225",
"fax_number": "732-237-9825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 SERPENTINE DR",
"city": "BAYVILLE",
"state": "NJ",
"postal_code": "087213227",
"telephone_number": "732-269-2225",
"fax_number": "732-237-9825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYNCH",
"first_name": "MARK",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-27",
"last_updated": "2011-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "MC03550",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "0418706000",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P826862",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bayville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.