Lyndon Pediatric Associates

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

LYNDON PEDIATRIC ASSOCIATES

Practice address

6851 E Genesee St
Fayetteville, NY 13066-1023

Phone

(315) 446-4580

Fax

(315) 446-3426

NPI assigned

May 20, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Leta Dineen

Title

Business Manager

Phone

(315) 446-4580

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1432080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432080000000",
    "number": "1922487289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6851 E GENESEE ST",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130661023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6851 E GENESEE ST",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130661023",
            "telephone_number": "315-446-4580",
            "fax_number": "315-446-3426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNDON PEDIATRIC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-20",
        "last_updated": "2015-05-20",
        "status": "A",
        "authorized_official_last_name": "DINEEN",
        "authorized_official_first_name": "LETA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "315-446-4580",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kadi B Luchsinger, PT
• Melissa Luke, LMHC
• Tracy A Lunney, LCSW-R
• Kathleen M Lynch, DPM
• Mary T Lynch, RPA
• Cecelia Louise Maalouf, LCAT, ATR-BC
• Katherine Christine Mackey, PH.D.
• Joseph Patrick Madelone, CRNA NP
• Meaghan Maloney
• Jessica Orallo Manalang

• Family Nurse Practitioner in Fayetteville, NY
• Providers in Fayetteville, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2015; 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.