LYDIA MCDERMOTT PA-C
NPI 1053753301
Physician Assistant - Surgical in Cherry Hill, NJ
About Lydia Mcdermott Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LYDIA MCDERMOTT PA-C (NPI 1053753301) is an individual surgical provider in Cherry Hill, New Jersey, licensed in New Jersey (25MP00508300) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS, is affiliated with Virtua Our Lady Of Lourdes Hospital, and maintains a secondary practice location in Philadelphia.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Lydia Mcdermott Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Virtua Our Lady Of Lourdes Hospital
Acute Care Hospitals · Camden, NJFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Lydia Mcdermott's NPI number?
The NPI number for Lydia Mcdermott is 1053753301. It was assigned to this individual provider in the NPPES registry on July 26, 2013.
Where is Lydia Mcdermott located?
Lydia Mcdermott practices at 1 Brace Rd Ste H-1, Cherry Hill, NJ 08034. The listed phone number is (856) 547-0389.
What is Lydia Mcdermott's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Lydia Mcdermott enrolled in Medicare?
Yes. Lydia Mcdermott is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Is Lydia Mcdermott affiliated with any hospitals?
According to CMS data, Lydia Mcdermott is affiliated with Virtua Our Lady Of Lourdes Hospital.
When was this NPI record last updated?
The NPPES record for Lydia Mcdermott was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Lydia Mcdermott, PA-C · NPI 1053753301
Surgical physician in Cherry Hill, New Jersey. Individual provider, active in the CMS NPPES registry since July 26, 2013.
## Identity
- **NPI:** 1053753301 (Entity type: Individual)
- **Enumerated:** July 26, 2013
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** 25MP00508300 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 BRACE RD STE H-1, Cherry Hill, NJ 08034-2600
- **Phone:** (856) 547-0389 · **Fax:** (856) 428-4053
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** September 11, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1053753301) · Data from the CMS NPPES public registry.