Provider Demographics
NPI:1851454862
Name:BARON, LYNDA (APN-C)
Entity Type:Individual
Prefix:MRS
First Name:LYNDA
Middle Name:
Last Name:BARON
Suffix:
Gender:F
Credentials:APN-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 DANIEL DR
Mailing Address - Street 2:
Mailing Address - City:MATAWAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07747-2742
Mailing Address - Country:US
Mailing Address - Phone:732-583-0638
Mailing Address - Fax:
Practice Address - Street 1:10 INDUSTRIAL WAY E STE 101
Practice Address - Street 2:
Practice Address - City:EATONTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07724-3332
Practice Address - Country:US
Practice Address - Phone:732-963-9091
Practice Address - Fax:732-963-9092
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2021-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR09096400363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner