Jenny Q. Lu, M.D., PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

214481 Issued in NY

Legal business name

JENNY Q. LU, M.D., PLLC

Practice address

75 Crystal Run Rd Ste 105
Middletown, NY 10941-7003

Phone

(845) 692-3542

Fax

(845) 692-6939

NPI assigned

Aug 7, 2009

Organization subpart

No

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

Authorized official

Name

Jenny Q Lu, M.D.NPI 1396784070

Title

Owner

Phone

(845) 692-3542

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

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

• Jenny Q Lu, MD

  • Family Medicine Physician
  • Middletown, NY
  • NPI 1396784070
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1249603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278374400000",
    "number": "1053542068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 CRYSTAL RUN RD STE 105",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109417003",
            "telephone_number": "845-692-3542",
            "fax_number": "845-692-6939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 CRYSTAL RUN RD STE 105",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109417003",
            "telephone_number": "845-692-3542",
            "fax_number": "845-692-6939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNY Q. LU, M.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-07",
        "last_updated": "2010-07-06",
        "status": "A",
        "authorized_official_last_name": "LU",
        "authorized_official_first_name": "JENNY",
        "authorized_official_middle_name": "Q",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-692-3542",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "214481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01999279",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Simeon Jean-Julien
• Florence Jean-Louis, MD
• Jeffrey Kim LLC
• Daniel Jeffrey, DO
• Annette Peele Jeffreys, MS SP. ED.
• Jennyb LMT LLC
• Jewish Family Service of Orange County, Inc
• Mukesh J Jhaveri, MD
• Joon Ji
• Yahui Jia

• Family Medicine Physician in Middletown, NY
• Providers in Middletown, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2010; 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.