Individual provider Active NPI

Magda F Louka, D.O.

  • Family Medicine Physician
  • Staten Island, NY
National Provider Identifier
1013238591
Registry record updated Sep 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
368788 Issued in NY
Practice address
1050 Clove Road
Staten Island, NY 10301
Phone
(718) 816-6440
Fax
(718) 816-3611
NPI assigned
Jun 18, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 368788 NY Primary

Addresses

Primary practice location

1050 Clove Road
Staten Island, NY 10301

Mailing address

55 Water Street
2ND Floor Cred Dept
New York, NY 10041
Phone (646) 680-2888

Other practice location 1

799 Bloomfield Ave Ste 201
Verona, NJ 07044-1301
Phone (973) 746-7050

Other practice location 2

799 Bloomfield Ave Ste 201
Verona, NJ 07044-1301
Phone (973) 746-7050

Other practice location 3

4771 Hylan Blvd
Staten Island, NY 10312-6315
Phone (718) 948-8200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160129002132 NJ Practitioner - Family PracticePractitioner - Internal MedicinePractitioner - Osteopathic Manipulative MedicinePractitioner - Geriatric Medicine 3870896558 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine, Internal Medicine, Osteopathic Manipulative Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Practice Associates Medical GroupGroup PAC ID 5890703177, 1,412 clinicians

Practice addresses (Care Compare)

100 Madison Ave
Morristown, NJ 07960-6136
Phone (973) 971-5596

312 Applegarth Rd
Monroe, NJ 08831-5347
Phone (609) 395-2939

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
3324TNMDProfessional Counselor
368788NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Practice Associates Medical Group Family Medicine CurrentSince Jul 1, 2022 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Dec 20, 2015 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Dec 20, 2015 Accepting new patients
Centrastate Medical Associates PC Family Medicine PastSince Oct 1, 2018 Accepting new patients

Locations

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

312 Applegarth Rd
Ste 107
Monroe Township, NJ 08831
Phone (609) 395-2939

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

799 Bloomfield Ave
Ste 201
Verona, NJ 07044
Phone (973) 259-3566

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1276819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568592000000",
    "number": "1013238591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 WATER STREET",
            "address_2": "2ND FLOOR CRED DEPT",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10041",
            "telephone_number": "646-680-2888",
            "fax_number": "516-542-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 CLOVE ROAD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10301",
            "telephone_number": "718-816-6440",
            "fax_number": "718-816-3611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "799 Bloomfield Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Verona",
            "state": "NJ",
            "postal_code": "070441301",
            "country_code": "US",
            "telephone_number": "973-746-7050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "799 Bloomfield Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Verona",
            "state": "NJ",
            "postal_code": "070441301",
            "country_code": "US",
            "telephone_number": "973-746-7050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4771 Hylan Blvd",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103126315",
            "country_code": "US",
            "telephone_number": "718-948-8200",
            "fax_number": "718-420-2718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOUKA",
        "first_name": "MAGDA",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-18",
        "last_updated": "2019-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "368788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.