MEDICARE: MARY JANE ESTRADA-LYDER NP

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	230517	MA

General Provider Information

NPI Number	:	1427033257
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY JANE ESTRADA-LYDER NP

Provider Business Mailing Address
First Line	:	15 SELKIRK RD
Second Line	:
City	:	BRIGHTON
State	:	MA
Zip	:	02135-7811
Country	:	US
Telephone Number	:	617-968-1535
Fax Number	:

Provider Business Practice Location Address
First Line	:	2014 WASHINGTON ST
Second Line	:
City	:	NEWTON
State	:	MA
Zip	:	02462-1607
Country	:	US
Telephone Number	:	617-243-6573
Fax Number	:	617-243-6070

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

Provider Enumeration Date	:	12/14/2005
Last Update Date	:	06/13/2016

Similar Medicare Providers

1376785428 — DR. IRA WHITTEN M.D.
Practice Location Address:

2014 WASHINGTON ST
NEWTON, MA
02462-1607

Practice Phone: 617-243-6000
Practice Fax:

1144210261 — JENNIFER ROSE BALUKONIS APRN
Practice Location Address:

2014 WASHINGTON ST
NEWTON, MA
02462-1607

Practice Phone: 617-243-6144
Practice Fax:

1205818721 — DR. JUDY Z YANG M.D.
Practice Location Address:

2014 WASHINGTON ST
NEWTON, MA
02462-1607

Practice Phone: 617-243-5155
Practice Fax: 617-243-5090

1689657686 — DR. DAVID JOHN WYLER M.D.
Practice Location Address:

2014 WASHINGTON ST , HOSPITALIST SERVICE, 2 NORTH
NEWTON, MA
02462-1607

Practice Phone: 617-243-6000
Practice Fax: 617-527-6737

1154305803 — DR. TARIK KALIL ALKASAB M.D., PH.D.
Practice Location Address:

2014 WASHINGTON ST , DEPT OF MEDICAL EDUCATION
NEWTON, MA
02462-1607

Practice Phone: 617-243-6000
Practice Fax:

1417935214 — TERESA R CAHILL MD
Practice Location Address:

2014 WASHINGTON ST , NEWTON WELLESLEY RADIOLOGY ASSOCIATES
NEWTON LOWER FALLS, MA
02462-1607

Practice Phone: 617-243-6600
Practice Fax:

Directions to “ MARY JANE ESTRADA-LYDER NP” 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.