Rebecca Lu MD

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

25MA08557200 Issued in NJ

Legal business name

REBECCA LU MD

Practice address

7 Mount Bethel Rd
Suite C
Warren, NJ 07059-2636

Phone

(908) 787-8088

Fax

(908) 368-8648

NPI assigned

Apr 15, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Rebecca Lu, MDNPI 1144483116

Title

MD/Owner

Phone

(973) 722-6788

Specialties & licenses 1

Addresses

Other names 1

• Elite SkinMD Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rebecca Y. Lu, MD

  • MOHS-Micrographic Surgery Physician
  • Warren, NJ
  • NPI 1144483116
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1429056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444780800000",
    "number": "1013304161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 MOUNT BETHEL RD",
            "address_2": "SUITE C",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070592636",
            "telephone_number": "908-787-8088",
            "fax_number": "908-368-8648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 MOUNT BETHEL RD",
            "address_2": "SUITE C",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070592636",
            "telephone_number": "908-787-8088",
            "fax_number": "908-368-8648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBECCA LU MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-15",
        "last_updated": "2015-10-14",
        "status": "A",
        "authorized_official_last_name": "LU",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "973-722-6788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NJ",
            "license": "25MA08557200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite SkinMD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Professional Anesthesia Physicians
• Amy Michelle Provenzano, CPNP-PC
• Kai Pun, P.T.
• Melissa Quiros Castaneda, BCBA
• Vidya Juluru Rao, MD
• Chrystal Reddersen-Picaro
• Maral Flora Regas, D.M.D.
• George Daniel Reilly, MD
• Nisha Rele, PT, DPT
• Benjamin David Rhodes, MA, BCBA

• Procedural Dermatology Physician in Warren, NJ
• Providers in Warren, NJ by specialty
• Procedural Dermatology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.