James Edward Lyles Jr. (NPI# 1710200894, PAC ID# 0143402859) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1710200894 |
| PAC ID by PECOS | 0143402859 |
| Professional Enrollment ID | I20180205000246 |
| Full Name | James Edward Lyles Jr. |
| Organization Legal Name | PREMIER MEDICAL ASSOCIATES OF THE HUDSON VALLEY |
| Address |
11 Peekskill Hollow Rd Putnam Valley NY 10579-3200 |
| Phone Number | 8455262080 |
| Gender | M |
| Medical School | STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER |
| Graduation Year | 2005 |
| Primary Specialty | GENERAL SURGERY |
| Secondary Specialties | HAND SURGERY |
| Group Practice PAC ID | 3476861600 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330208 | ST JOHN'S RIVERSIDE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 11 Peekskill Hollow Rd, Putnam Valley, NY 10579-3200 | 8455262080 | PREMIER MEDICAL ASSOCIATES OF THE HUDSON VALLEY |
| 11 Peekskill Hollow Rd, Putnam Valley, NY 10579-3200 | NORTHERN WESTCHESTER SURGICAL ASSOCIATES, LLP |
| Organization Legal Name | PREMIER MEDICAL ASSOCIATES OF THE HUDSON VALLEY |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren A Licata | General Surgery | Premier Medical Associates of The Hudson Valley | 11 Peekskill Hollow Rd, Suite 112, Putnam Valley, NY 10579-3200 |
| Adrien J Kant | General Surgery | Premier Medical Associates of The Hudson Valley | 11 Peekskill Hollow Rd, Suite 112, Putnam Valley, NY 10579-3200 |
| Street Address |
11 PEEKSKILL HOLLOW RD |
| City | PUTNAM VALLEY |
| State | NY |
| Zip | 10579-3200 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren A Licata | General Surgery | Premier Medical Associates of The Hudson Valley | 11 Peekskill Hollow Rd, Suite 112, Putnam Valley, NY 10579-3200 |
| Laura Mieszerski | Obstetrics/gynecology | 11 Peekskill Hollow Rd, Suite 204, Putnam Valley, NY 10579-3200 | |
| Bianca N Redhead | General Surgery | Northern Westchester Surgical Associates, LLP | 11 Peekskill Hollow Rd, Suite 97, Putnam Valley, NY 10579-3200 |
| Michelle E Gordon | General Surgery | Northern Westchester Surgical Associates, LLP | 11 Peekskill Hollow Rd, Suite 97, Putnam Valley, NY 10579-3200 |
| Robert Hoffman | Medical Toxicology | New York University | 11 Peekskill Hollow Rd, Putnam Valley, NY 10579-3200 |
| Valerie J Zarcone | Internal Medicine | 11 Peekskill Hollow Rd, Putnam Valley, NY 10579-3200 | |
| Adrien J Kant | General Surgery | Premier Medical Associates of The Hudson Valley | 11 Peekskill Hollow Rd, Suite 112, Putnam Valley, NY 10579-3200 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Judith E Teague | Physical Therapy | Ivyrehab Physical Therapy Pllc | 21 Peekskill Hollow Rd, Suite 201 202, Putnam Valley, NY 10579-3248 |
| Richard J Foley | Physical Therapy | Ivyrehab Physical Therapy Pllc | 21 Peekskill Hollow Rd, Suite 201 202, Putnam Valley, NY 10579-3248 |
| Laurie Barnum | Physical Therapy | Ivyrehab Physical Therapy Pllc | 21 Peekskill Hollow Rd, Suite 201 202, Putnam Valley, NY 10579-3248 |
| Cristine M Poole | Physical Therapy | Ivyrehab Physical Therapy Pllc | 21 Peekskill Hollow Rd, Suite 201 202, Putnam Valley, NY 10579-3248 |
| Amram Lavi Romer | Occupational Therapy | Ivyrehab Physical Therapy Pllc | 21 Peekskill Hollow Rd, Suite 201 202, Putnam Valley, NY 10579-3248 |
| Karin Lipke | Occupational Therapy | Ivyrehab Physical Therapy, Pllc | 21 Peekskill Hollow Rd, Suite 201 202, Putnam Valley, NY 10579-3248 |
| Paul J Kastuk Jr. | Chiropractic | 21 Peekskill Hollow Rd, Suite 104, Putnam Valley, NY 10579-3254 | |
| Michelle Landberg Berner | Psychologist, Clinical | 5 Mueller Mountain Rd, Putnam Valley, NY 10579-3313 | |
| Marsha L Amstel | Clinical Social Worker | 203 Waterside Professional Park, Putnam Valley, NY 10579-3505 |
| City | PUTNAM VALLEY |
| Zip Code | 10579 |
| Specialty | GENERAL SURGERY |
| City + Specialty | PUTNAM VALLEY + GENERAL SURGERY |
Please comment or provide details below to improve the information on James Edward Lyles Jr..
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.