Individual provider Active NPI

Sean Christian Lucan, MD

  • Family Medicine Physician
  • Toms River, NJ
National Provider Identifier
1043372410
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
253590-01 Issued in NY
Practice address
1001 Fischer Blvd Ste 3
Toms River, NJ 08753-3818
Phone
(844) 359-8363
Fax
(833) 929-3520
NPI assigned
Dec 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 83346 CT
Family Medicine Physician 207Q00000X 253590-01 NY Primary
Family Medicine Physician 207Q00000X 253590-1 NY
Family Medicine Physician 207Q00000X 25MA11354300 NJ

Addresses

Primary practice location

1001 Fischer Blvd Ste 3
Toms River, NJ 08753-3818

Mailing address

222 Overlook Ave
Leonia, NJ 07605-1519
Phone (267) 265-1669

Other practice location 1

3065 Brighton 2nd St # 1014
Brooklyn, NY 11235-7404
Phone (844) 359-8363

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20090902000581 NY Practitioner - Family Practice 2466552302 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Yale University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medassist NJ IIGroup PAC ID 1557717428, 23 clinicians

Practice addresses (Care Compare)

Spring Valley, NY 10977
Phone (845) 377-6670

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
253590-1NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medequipped LLC CurrentSince Mar 5, 2025 Accepting new patients
Medassist NJ II CurrentSince Mar 5, 2025 Accepting new patients
Montefiore Medical Center Past Accepting new patients

Locations

747 Chestnut Ridge Rd
Ste 205
Spring Valley, NY 10977
Phone (845) 237-2381

747 Chestnut Ridge Rd
Ste 206
Spring Valley, NY 10977
Phone (845) 377-6670

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1043372410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 OVERLOOK AVE",
            "city": "LEONIA",
            "state": "NJ",
            "postal_code": "076051519",
            "telephone_number": "267-265-1669",
            "fax_number": "305-330-9067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 FISCHER BLVD STE 3",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087533818",
            "telephone_number": "844-359-8363",
            "fax_number": "833-929-3520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3065 Brighton 2nd St # 1014",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112357404",
            "country_code": "US",
            "telephone_number": "844-359-8363",
            "fax_number": "833-955-3592",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUCAN",
        "first_name": "SEAN",
        "middle_name": "CHRISTIAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "83346",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "253590-01",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "253590-1",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA11354300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.