MICCAL A. SCOTT-LYEW AGPC-NP
NPI 1720673171
Nurse Practitioner - Primary Care in Montclair, NJ

Q: What is Miccal Scott-lyew's NPI number?

The NPI number for Miccal Scott-lyew is 1720673171. It was assigned to this individual provider in the NPPES registry on March 8, 2021.

Q: What is Miccal Scott-lyew's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Miccal Scott-lyew was last updated on July 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.

Active since March 08, 2021PECOS Enrolled

28 VALLEY RD # 148, MONTCLAIR, NJ 07042(973) 559-4600(855) 998-4358 Get Directions Write a Review

NPPES record last updated: July 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 7, 2023, Nov 16, 2021, Jun 4, 2021 and 1 more (4 updates tracked since 2021).

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About Miccal A. Scott-lyew Agpc-np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICCAL A. SCOTT-LYEW AGPC-NP (NPI 1720673171) is an individual primary care provider in Montclair, New Jersey, licensed in New Jersey (26NJO1148500) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720673171

Entity TypeIndividualFemale

Primary Taxonomy363LP2300X

Provider Legal NameMICCAL A. SCOTT-LYEWCredential: AGPC-NP

Location Address28 VALLEY RD # 148Montclair, NJ 07042-2709

Mailing Address34 Mountain Blvd Ste 203Warren, NJ 07059-2640 · (908) 574-1267

Phone(973) 559-4600

Fax(855) 998-4358

Sole ProprietorYes

Enumeration DateMarch 8, 2021

Last NPPES UpdateJuly 7, 20234 updates tracked since enumeration

NPPES CertifiedJuly 7, 2023

✔ NPI 1720673171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

License✔ Licensed in NJ · 26NJO1148500

28 VALLEY RD # 148, Montclair, NJ 07042

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miccal A. Scott-lyew Agpc-np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07042 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$98.09 typical visit price

range $63.84 – $190.92

Typical copayment $24.52 (range $15.96 – $47.73)

Most-billed visit code 99203

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. MICHELLE GILES-HONORE APN

Nurse Practitioner (Family)