Provider Demographics
NPI:1457328866
Name:LLOYD, JOHN MERVYN (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:MERVYN
Last Name:LLOYD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:221 OLD HOOK RD
Mailing Address - Street 2:
Mailing Address - City:WESTWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07675-3101
Mailing Address - Country:US
Mailing Address - Phone:201-666-0013
Mailing Address - Fax:201-666-0123
Practice Address - Street 1:221 OLD HOOK RD
Practice Address - Street 2:
Practice Address - City:WESTWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07675-3101
Practice Address - Country:US
Practice Address - Phone:201-666-0013
Practice Address - Fax:201-666-0123
Is Sole Proprietor?:No
Enumeration Date:2006-03-03
Last Update Date:2009-10-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA04231500207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJC61226Medicare UPIN
1040110001Medicare NSC
LL199036Medicare Oscar/Certification