John Sherry Lyons, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

25MA03972600 Issued in NJ

Practice address

308 Willow Ave
Radiology Department
Hoboken, NJ 07030

Phone

(201) 418-1820

Fax

(201) 418-1822

NPI assigned

Sep 30, 2005

Last updated

Nov 16, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Jack Sherry Lyons Other name

Medicare fee-for-service enrollment

Enrolled in NJ, NY2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lyons Medical PC

  • Specialist
  • Brooklyn, NY
  • NPI 1790225290
  Medicare reassignment NPD Authorized official
• Contemporary Diagnostic Imaging, LLC

  • Specialist
  • Belleville, NJ
  • NPI 1306267927
  Medicare reassignment NPD
• Distinguished Diagnostic Imaging P.C.

  • Multi-Specialty Clinic/Center
  • Bronx, NY
  • NPI 1306061890
  Medicare reassignment NPD
• Third Avenue Imaging LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Bronx, NY
  • NPI 1619416229
  Medicare reassignment NPD
• Delta Radiology & Imaging P.C.

  • Radiology Clinic/Center
  • Brooklyn, NY
  • NPI 1033315536
  NPD (past) Authorized official
• Imaging Subspecialists of North Jersey, LLC

  • Diagnostic Radiology Physician
  • Paterson, NJ
  • NPI 1366428153
  NPD (past)
• Pavonia Diagnostic Imaging, PA

  • Diagnostic Radiology Physician
  • Jersey City, NJ
  • NPI 1124130703
  NPD (past)
• Richard J Claps M.D. & Associates P.a.

  dba Imagecare at Morristown

  • Radiology Clinic/Center
  • Morristown, NJ
  • NPI 1699857664

  Diagnostic Radiology

  NPD (past)
• Urology Specialty Care PA

  • Radiation Oncology Physician
  • Hackensack, NJ
  • NPI 1326330366
  NPD (past)
• Atlantic Radiology Imaging PC

  • Specialist
  • Brooklyn, NY
  • NPI 1598952707
  NPD (past)
• Canal Radiology Associates, P.C.

  dba Community Radiology

  • Diagnostic Radiology Physician
  • New York, NY
  • NPI 1588775654
  NPD (past)
• Community Radiology

  • Specialist
  • Brooklyn, NY
  • NPI 1861764540
  NPD (past)

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195171200000",
    "number": "1972590438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10335 N PORT WASHINGTON RD",
            "address_2": "SUITE 250",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "53092",
            "telephone_number": "262-240-9870",
            "fax_number": "262-240-9869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 WILLOW AVE",
            "address_2": "RADIOLOGY DEPARTMENT",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "07030",
            "telephone_number": "201-418-1820",
            "fax_number": "201-418-1822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYONS",
        "first_name": "JOHN",
        "middle_name": "SHERRY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2007-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA03972600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2109808",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACK",
            "last_name": "LYONS",
            "middle_name": "SHERRY",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Konstantin Lukin
• Matthew Luongo, RDN, CSSD, CDN
• Allison Luton
• Natalie Victoria Lutz, L.AC.
• Patricia F Lynch, DMD
• Joanna Machel
• Jennifer Machulsky
• Robert Macinnis
• Nidhi Madhani
• Madison Avenue Dermatology, LLC

• Diagnostic Radiology Physician in Hoboken, NJ
• Providers in Hoboken, NJ by specialty
• Diagnostic Radiology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.