Individual ProviderJoan LynnNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address254 Easton Ave, New Brunswick, NJ 08901-1766(732) 745-8600PECOS EnrollmentBased on the most recent information from CMS, provider Joan Lynn is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1033157466Provider TypeIndividualFull NameLynn, JoanTitleMrs.CredentialRN, MSNGenderFemaleSole ProprietorNoEnumeration Date6/4/2006Last Updated6/5/2008Contact InformationPractice LocationPractice Address254 Easton Ave, New Brunswick, NJ 08901-1766Phone(732) 745-8600Fax(732) 745-2980Mailing LocationMailing Address254 Easton Ave, New Brunswick, NJ 08901-1766Phone(732) 745-8600Fax(732) 745-7352Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense26NJ00039300New JerseyProvider IdentifiersIDDescriptionIssuerID0072079DescriptionMedicaidIssuerUnlistedNew Jersey