Ezequiel Lugo

Primary specialty

Other Specialist/TechnologistTaxonomy code 246Z00000X

Practice address

60 Shaker Rd Ste 19
East Longmeadow, MA 01028-2757

Phone

(407) 982-4876

Fax

(407) 650-2754

NPI assigned

Aug 14, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Mean Bean Shop LLC

  • Other Specialist/Technologist
  • East Longmeadow, MA
  • NPI 1396621249

  Single Specialty

  NPD

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

{
    "created_epoch": "1755129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1043196991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 SHAKER RD STE 19",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "010282757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 SHAKER RD STE 19",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "010282757",
            "telephone_number": "407-982-4876",
            "fax_number": "407-650-2754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUGO",
        "first_name": "EZEQUIEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-08-14",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dorothy J Linder, OT
• Eric Lisitano, PT
• Litscher Eye Center OD
• Andea Christina Lopez, LMT
• Jacqueline A Lopez
• Mary Lou Lusa, M.S., LMHC
• Joseph Charles Lyons
• Ma Plastic Surgery PLLC
• Deaven Nicole Macias, DO
• Kim McGillicuddy Maciaszek, OD

• Other Specialist/Technologist in East Longmeadow, MA
• Providers in East Longmeadow, MA by specialty
• Other Specialist/Technologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; 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.