Individual provider · Type 1 NPI

Dana Lyden, APN

Gerontology Nurse Practitioner · Rockaway, NJ

NPI number 1417339136 Active

Practice location

333 Mount Hope Ave Ste 250
Rockaway, NJ 07866-1657

Fax (973) 895-5327

Mailing address

PO Box 416457
Boston, MA 02241-6457

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X26NJ00565400 (NJ)
Family Nurse Practitioner 363LF0000X26NR14880200 (NJ)
Gerontology Nurse Practitioner Primary 363LG0600X26NJ00565400 (NJ)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1417339136

Dana Lyden, APN's National Provider Identifier is 1417339136, issued on Jun 19, 2015. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Rockaway, NJ. The record was last updated on Aug 15, 2025.