Individual provider Active NPI

Denise Lynam

  • Psychiatric/Mental Health Nurse Practitioner
  • Fairfield, NJ
National Provider Identifier
1962166231
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ01198900 Issued in NJ
Practice address
165 Passaic Ave Ste 200
Fairfield, NJ 07004-3526
Phone
(800) 413-8020
NPI assigned
Oct 23, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 26NJ01198900 NJ Primary

Addresses

Primary practice location

165 Passaic Ave Ste 200
Fairfield, NJ 07004-3526

Mailing address

165 Passaic Ave Ste 200
Fairfield, NJ 07004-3526
Phone (800) 413-8020

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
I20220120001072 NJ Practitioner - Nurse Practitioner 1951793132 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Middlesex Psychiatry and TMS PCGroup PAC ID 7315334000, 41 clinicians

Practice addresses (Care Compare)

777 Route 70 E
Suite G101
Marlton, NJ 08053-2548
Phone (856) 818-4020

Merit-based Incentive Payment System (MIPS)

Final score
87.64 of 100Reported as group
Quality
76.13
Improvement activities
40
Cost
69.23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ01198900NJMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Group of Englewood, Inc Single Specialty CurrentSince Dec 2, 2021 Accepting new patients
Middlesex Psychiatry & TMS PC Single Specialty CurrentSince Jun 1, 2025 Accepting new patients
Infinite Medical PC Single Specialty CurrentSince Nov 1, 2023 Accepting new patients
Emergency Physician Services of New Jersey,Professional Association Single Specialty CurrentSince Feb 1, 2022 Accepting new patients
Tolchin Psychological Services, P.C. Single Specialty PastSince Oct 27, 2024 Accepting new patients

Locations

140 Grand Ave
Englewood, NJ 07631
Phone (201) 569-7672

165 Passaic Ave
Ste 200
Fairfield, NJ 07004
Phone (800) 413-8020

777 Route 70 E
Ste G101
Marlton, NJ 08053
Phone (856) 818-4020

101 Walnut St
Neptune City, NJ 07753
Phone (732) 774-2336

718 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 833-3232

250 Skillman St
Ste 202
Brooklyn, NY 11205

Organizations & group practices 5

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": "1634947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770249600000",
    "number": "1962166231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 PASSAIC AVE STE 200",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070043526",
            "telephone_number": "800-413-8020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 PASSAIC AVE STE 200",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070043526",
            "telephone_number": "800-413-8020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNAM",
        "first_name": "DENISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-23",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ01198900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, NJ

Sources for this page

Verify at the official NPI Registry.