LYNDON PEDIATRIC ASSOCIATES
NPI 1922487289
Nurse Practitioner - Family in Fayetteville, NY

Active since May 20, 2015
6851 E GENESEE ST, FAYETTEVILLE, NY 13066(315) 446-4580(315) 446-3426 Get Directions Write a Review

NPPES record last updated: May 20, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lyndon Pediatric Associates NPPES

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

LYNDON PEDIATRIC ASSOCIATES (NPI 1922487289) is a healthcare organization registered as a family in Fayetteville, New York and active in the NPI registry since May 2015. The organization lists Leta Dineen, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1922487289
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameLYNDON PEDIATRIC ASSOCIATES
Location Address6851 E GENESEE STFayetteville, NY 13066-1023
Mailing Address6851 E Genesee StFayetteville, NY 13066-1023
Fax(315) 446-3426
Organization SubpartNo
Authorized OfficialLeta DineenBusiness Manager · (315) 446-4580
Enumeration DateMay 20, 2015
NPI 1922487289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
6851 E GENESEE ST, Fayetteville, NY 13066

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

Pediatrics
6851 E GENESEE ST
FAYETTEVILLE, NY 13066
Nurse Practitioner (Family)
6851 E GENESEE ST
FAYETTEVILLE, NY 13066
Nurse Practitioner (Pediatrics)
6851 E GENESEE ST
FAYETTEVILLE, NY 13066
Nurse Practitioner (Family)
6851 E GENESEE ST
FAYETTEVILLE, NY 13066

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 Lyndon Pediatric Associates's NPI number?

The NPI number for Lyndon Pediatric Associates is 1922487289. It was assigned to this organization in the NPPES registry on May 20, 2015.

Where is Lyndon Pediatric Associates located?

Lyndon Pediatric Associates is located at 6851 E Genesee St, Fayetteville, NY 13066. The listed phone number is (315) 446-4580.

What is Lyndon Pediatric Associates's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Lyndon Pediatric Associates was last updated on May 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.