Miccal A Scott-Lyew, AGPC-NP
Nurse Practitioner, Primary Care in Montclair, New Jersey
1720673171- Practice location
- 28 Valley RD # 148, Montclair, NJ 07042-2709
- Phone
- 973-559-4600
- Fax
- 855-998-4358
- Last updated
- July 7, 2023
Miccal A. Scott-Lyew is a Nurse Practitioner, Primary Care based in Montclair, NJ. Miccal A. Scott-Lyew practices in Montclair, NJ and has the professional credentials of AGPC-NP. The NPI Number for Miccal A. Scott-Lyew is 1720673171 and holds a License No. 26NJO1148500 (NJ). The current practice location address for Miccal A. Scott-Lyew is 28 Valley RD # 148, Montclair, NJ 07042-2709 and can be reached out via phone at 973-559-4600 and via fax at 855-998-4358.
Provider Profile Details
- NPI Number
- 1720673171
- Provider Name
- Miccal A. Scott-Lyew
- Credential
- AGPC-NP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 28 Valley RD # 148, Montclair, NJ 07042-2709
- Phone Number
- 973-559-4600
- Fax Number
- 855-998-4358
- Primary Taxonomy
- Nurse Practitioner, Primary Care · 363LP2300X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- March 8, 2021
- Last Update Date
- July 7, 2023
- Certification Date
- July 7, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 28 Valley RD # 148
Montclair, NJ 07042-2709 - City
- Montclair
- State
- New Jersey
- Zip
- 07042-2709
- Phone Number
- 973-559-4600
- Fax Number
- 855-998-4358
Provider Business Mailing Address Details
- Address
- 34 Mountain Blvd Ste 203
Warren, NJ 07059-2640 - City
- Warren
- State
- NJ
- Zip
- 07059-2640
- Phone Number
- 908-574-1267
License Information
- License Number
- 26NJO1148500
- License State
- NJ
- Taxonomy
- Nurse Practitioner, Primary Care · 363LP2300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Practitioner, Primary Care providers near Montclair, NJ
View all Nurse Practitioner, Primary Care providers in Montclair →- Dr. Dionne Hutson Hendy, DNP, MSN-AGPCNP-BCNurse Practitioner, Primary Care · NPI 1851884456
- Jo-Ann S Dejean, DNP, APN, AGNP-CNurse Practitioner, Primary Care · NPI 1801486725
- Kelly W Murakata, AGNP-BCNurse Practitioner, Primary Care · NPI 1992076640
- Lydia A Patrick-Deluca, MSN RN APN-CNurse Practitioner, Primary Care · NPI 1508098302
Frequently Asked Questions
What is the NPI number of Miccal A Scott-Lyew, AGPC-NP?
The NPI number of Miccal A Scott-Lyew, AGPC-NP is 1720673171. It was assigned on March 8, 2021 and is currently active in the NPPES registry.
What is the specialty of Miccal A Scott-Lyew, AGPC-NP?
Miccal A Scott-Lyew, AGPC-NP is registered under the primary taxonomy Nurse Practitioner, Primary Care (code 363LP2300X), licensed in NJ under license number 26NJO1148500.
Where does Miccal A Scott-Lyew, AGPC-NP practice?
The practice location is 28 Valley RD # 148, Montclair, NJ 07042-2709. The office can be reached at 973-559-4600 (phone) or 855-998-4358 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1720673171 directly on the NPPES registry website.