Individual provider Active NPI

Lucknie Ovincy, PA-C

  • Medical Physician Assistant
  • Belleville, NJ
National Provider Identifier
1013352558
Registry record updated May 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
25MP00297800 Issued in NJ
Practice address
50 Newark Ave
Belleville, NJ 07109-1185
Phone
(973) 751-2060
NPI assigned
May 9, 2013
Last updated
May 9, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 25MP00297800 NJ Primary

Addresses

Primary practice location

50 Newark Ave
Belleville, NJ 07109-1185

Mailing address

245 S Burnett St
East Orange, NJ 07018-2502
Phone (862) 452-7882

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140206000383 NJ Practitioner - Physician Assistant 4284863606 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jersey Irish MedicalGroup PAC ID 0941451215, 34 clinicians

Practice addresses (Care Compare)

111 -117 Spring St
US 1 9
Elizabeth, NJ 07201-2505
Phone (908) 570-5801

30 Seaview Dr
Secaucus, NJ 07094-1826
Phone (210) 319-1611

595 Division St
Elizabeth, NJ 07201-2038
Phone (908) 289-5646

601 W Union Ave
Bound Brook, NJ 08805-1166
Phone (732) 469-3627

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
25MP00297800NJMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care of New Jersey PA CurrentSince Aug 5, 2019 Accepting new patients
The Radiology Group of New Jersey, LLC CurrentSince Nov 1, 2025 Accepting new patients
American Current Care of New Jersey PA CurrentSince Aug 5, 2019 Accepting new patients
DRX Paramus, LLC PastSince Dec 17, 2023 Accepting new patients
Monmouth Digestive Health LLC PastSince Aug 17, 2020 Accepting new patients

Locations (25 of 30)

501 Washington Ave
Belleville, NJ 07109
Phone (862) 762-0585

220 Bloomfield Ave
Bloomfield, NJ 07003

889 Allwood Rd
Clifton, NJ 07012
Phone (973) 778-6800

3130 State Route 10
Denville, NJ 07834
Phone (973) 319-4230

145 Wyckoff Rd
Ste 201
Eatontown, NJ 07724
Phone (732) 597-7333

595 Division St
Elizabeth, NJ 07201
Phone (908) 289-5646

57 US Highway 46
Ste 212
Hackettstown, NJ 07840

651 Willow Grove St
Hackettstown, NJ 07840
Phone (908) 441-1161

2 Broadway
Hillsdale, NJ 07642
Phone (201) 523-9222

276 Passaic Ave
Kearny, NJ 07032

276 Passaic Ave
#A
Kearny, NJ 07032
Phone (201) 231-8880

1020 W Edgar Rd
Linden, NJ 07036
Phone (908) 275-5922

269 US Highway 46
Little Ferry, NJ 07643
Phone (201) 719-9371

2 Memorial Dr
Lodi, NJ 07644
Phone (551) 837-2051

352 Ryders Ln
Milltown, NJ 08850
Phone (732) 638-1990

817 E Gate Dr
#102
Mount Laurel, NJ 08054
Phone (856) 778-1090

1286 Springfield Ave
New Providence, NJ 07974
Phone (908) 402-3338

375 McCarter Hwy
Ste 205
Newark, NJ 07114

175 High St
Newton, NJ 07860
Phone (973) 383-2121

1120 US Highway 9
Old Bridge, NJ 08857
Phone (732) 200-7800

67 E Ridgewood Ave
#C
Paramus, NJ 07652
Phone (201) 262-2010

1160 US Highway 46
Parsippany, NJ 07054
Phone (973) 313-8484

1107 Convery Blvd
Perth Amboy, NJ 08861
Phone (732) 442-0037

1225 US Highway 22
Phillipsburg, NJ 08865

1315 Stelton Rd
Piscataway, NJ 08854
Phone (732) 339-3690

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1368057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368057600000",
    "number": "1013352558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 S BURNETT ST",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070182502",
            "telephone_number": "862-452-7882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 NEWARK AVE",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071091185",
            "telephone_number": "973-751-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVINCY",
        "first_name": "LUCKNIE",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-09",
        "last_updated": "2013-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00297800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, NJ

Sources for this page

Verify at the official NPI Registry.