MEDICARE: DANA LYDEN APN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	26NJ00565400	NJ
2	363LF0000X	Family Nurse Practitioner	26NR14880200	NJ
3	363LG0600X	Gerontology Nurse Practitioner	26NJ00565400	NJ

General Provider Information

NPI Number	:	1417339136
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANA LYDEN APN

Provider Business Mailing Address
First Line	:	PO BOX 416457
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02241-6457
Country	:	US
Telephone Number	:	844-362-1735
Fax Number	:	973-290-7495

Provider Business Practice Location Address
First Line	:	333 MOUNT HOPE AVE STE 250
Second Line	:
City	:	ROCKAWAY
State	:	NJ
Zip	:	07866-1657
Country	:	US
Telephone Number	:	973-895-6636
Fax Number	:	973-895-5327

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/19/2015
Last Update Date	:	08/15/2025

Similar Medicare Providers

1659568699 — SHIVANGI PATEL M.D.
Practice Location Address:

333 MOUNT HOPE AVE STE 220/230
ROCKAWAY, NJ
07866-1657

Practice Phone: 973-895-6606
Practice Fax: 973-895-5378

1821307257 — RENA JAFFE FNP
Practice Location Address:

333 MOUNT HOPE AVE STE 250
ROCKAWAY, NJ
07866-1657

Practice Phone: 973-895-6600
Practice Fax: 973-895-5325

1548523533 — DR. DAVID SAUL LEVINE D.O.
Practice Location Address:

333 MOUNT HOPE AVE STE 320
ROCKAWAY, NJ
07866-1657

Practice Phone: 973-625-5700
Practice Fax: 973-625-3381

1154753051 — KRISTOFER K STEINGALL PHYSICIAN ASSISTANT
Practice Location Address:

333 MOUNT HOPE AVE STE 320
ROCKAWAY, NJ
07866-1657

Practice Phone: 973-625-5700
Practice Fax: 973-625-3381

1841610821 — NEIL HAROLD POULSEN
Practice Location Address:

333 MOUNT HOPE AVE STE 260
ROCKAWAY, NJ
07866-1657

Practice Phone: 973-895-6605
Practice Fax: 973-895-5338

1053729988 — KUNAL VANI
Practice Location Address:

333 MOUNT HOPE AVE STE 260
ROCKAWAY, NJ
07866-1657

Practice Phone: 973-895-6605
Practice Fax: 973-895-5338

Directions to “ DANA LYDEN APN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.