Organization Active NPI

Lua Associates PC

  • Urology Physician
  • Boston, MA
National Provider Identifier
1013261775
Registry record updated Dec 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
LUA ASSOCIATES PC
Practice address
319 Longwood Ave
Boston, MA 02115-5728
Phone
(617) 277-0100
Fax
(617) 232-7571
NPI assigned
Nov 2, 2012
Organization subpart
Yes
Parent organization
LONGWOOD UROLOGICAL ASSOCIATESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 13, 2016

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

Authorized official

Name
Dr. Michael C Kearney
Title
Owner
Phone
(617) 277-0100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X MA Primary

Addresses

Primary practice location

319 Longwood Ave
Boston, MA 02115-5728

Mailing address

319 Longwood Ave
Boston, MA 02115-5728
Phone (617) 277-0100

Other identifiers 1

IdentifierTypeStateIssuer
9756094MedicaidMA

National Provider Directory

National Provider Directory
Part of
Longwood Urological

Locations

319 Longwood Ave
Ste 5
Boston, MA 02115
Phone (617) 277-0100

1000 Broadway
Chelsea, MA 02150
Phone (617) 660-6600

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1351814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481587200000",
    "number": "1013261775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 LONGWOOD AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021155728",
            "telephone_number": "617-277-0100",
            "fax_number": "617-232-7571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 LONGWOOD AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021155728",
            "telephone_number": "617-277-0100",
            "fax_number": "617-232-7571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUA ASSOCIATES PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LONGWOOD UROLOGICAL ASSOCIATES",
        "enumeration_date": "2012-11-02",
        "last_updated": "2016-12-13",
        "status": "A",
        "authorized_official_last_name": "KEARNEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-277-0100",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9756094",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.