1. Home
  2. Directory
  3. New Jersey
  4. Teaneck
  5. Nurse Practitioner
  6. NPI Profile

DR. DEVON CORDELIA GORDON-LYLES AGPNP-BC, CCRN
NPI 1750120408
Nurse Practitioner - Adult Health in Teaneck, NJ

Active since May 22, 2024PECOS Enrolled
157 SHEPARD AVE, TEANECK, NJ 07666(201) 937-6516 Get Directions Write a Review

NPPES record last updated: March 27, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Devon Cordelia Gordon-lyles Agpnp-bc, Ccrn NPPES

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

DR. DEVON CORDELIA GORDON-LYLES AGPNP-BC, CCRN (NPI 1750120408) is an individual adult health provider in Teaneck, New Jersey, licensed in New York (F311813-01) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750120408
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameDR. DEVON CORDELIA GORDON-LYLESCredential: AGPNP-BC, CCRN
Location Address157 SHEPARD AVETeaneck, NJ 07666-6157
Mailing Address157 Shepard AveTeaneck, NJ 07666-6157 · (201) 937-6516
Phone(201) 937-6516
Sole ProprietorYes
Enumeration DateMay 22, 2024
Last NPPES UpdateMarch 27, 2025
NPPES CertifiedMarch 27, 2025
✔ NPI 1750120408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · F311813-01
Also ListedNurse PractitionerTaxonomy 363L00000X · License 26NJ15075500 (NJ)
157 SHEPARD AVE, Teaneck, NJ 07666
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Devon Cordelia Gordon-lyles Agpnp-bc, Ccrn 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 07666 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.

Frequently 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 Devon Gordon-lyles's NPI number?

The NPI number for Devon Gordon-lyles is 1750120408. It was assigned to this individual provider in the NPPES registry on May 22, 2024.

Where is Devon Gordon-lyles located?

Devon Gordon-lyles practices at 157 Shepard Ave, Teaneck, NJ 07666. The listed phone number is (201) 937-6516.

What is Devon Gordon-lyles's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Devon Gordon-lyles enrolled in Medicare?

Yes. Devon Gordon-lyles is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Devon Gordon-lyles was last updated on March 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.