Active NPI
Denise Lynam
- Psychiatric/Mental Health Nurse Practitioner
- Fairfield, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 26NJ01198900
- 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
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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 100
- Quality
- 76.13
- Improvement activities
- 40
- Cost
- 69.23
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ01198900 | NJ | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Group of Englewood, Inc | Single Specialty | Current | Accepting new patients |
| Middlesex Psychiatry & TMS PC | Single Specialty | Current | Accepting new patients |
| Infinite Medical PC | Single Specialty | Current | Accepting new patients |
| Emergency Physician Services of New Jersey,Professional Association | Single Specialty | Current | Accepting new patients |
| Tolchin Psychological Services, P.C. | Single Specialty | Past | 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.
-
- Psychiatry Physician
- Fairfield, NJ
- NPI 1053971572
NJ, Single Specialty
-
- Emergency Medicine Physician
- Mount Holly, NJ
- NPI 1831539568
NJ, Single Specialty
-
- Health Service Psychologist
- Hauppauge, NY
- NPI 1356162036
Single Specialty
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.