| NPI | 1053753301 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2013-07-26 |
| Last Updated | 2025-09-11 |
| Mailing Address | 301 Lippincott Dr Ste 410 Marlton, NJ 08053-4197 United States Phone: (856) 355-0340 | Fax: (856) 355-0330 📍 View Map |
| Primary Practice Address | 1 Brace Rd Ste H-1 Cherry Hill, NJ 08034-2600 United States Phone: (856) 547-0389 | Fax: (856) 428-4053 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 363A00000X – Physician Assistant | NJ | 25MP00508300 |
| Yes | 363AS0400X – Physician Assistant, Surgical | NJ | 25MP00508300 |
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About NPI 1053753301
Lydia Mcdermott PA-C is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1053753301. The primary specialty listed is Physician Assistant, Surgical. The provider is located in Cherry Hill, NJ. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2013-07-26. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1053753301?
NPI 1053753301 belongs to Lydia Mcdermott PA-C, a Physician Assistant, Surgical in Cherry Hill, NJ. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1053753301 active?
The current status of NPI 1053753301 in the NPPES registry is Active. The record was last updated on 2025-09-11.
What specialty is NPI 1053753301?
NPI 1053753301 is classified under the taxonomy Physician Assistant, Surgical. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1053753301?
You can verify NPI 1053753301 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1053753301?
The primary practice address on file for NPI 1053753301 is 1 Brace Rd Ste H-1, Cherry Hill, NJ 08034-2600. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1053753301 issued?
NPI 1053753301 was first issued (enumerated) on 2013-07-26. The NPPES record was last updated on 2025-09-11.
Practice Location Map
Lydia Mcdermott is located at 1 Brace Rd Ste H-1, Cherry Hill, NJ. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Lydia Mcdermott. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1053753301. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Physician Assistant | 25MP00508300 | NJ |
| Physician Assistant, Surgical | 25MP00508300 | NJ |