Eric Jay Lullove, D.P.M.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

PO 3133 Issued in FL

Practice address

4855 W Hillsboro Blvd
Ste B6
Coconut Creek, FL 33073-4356

Phone

(561) 989-9780

Fax

(561) 989-9781

NPI assigned

Sep 20, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• All County Health Care, Inc Home health agency, Lauderdale Lakes, FL, CCN 109250

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Eric J Lullove DPM PA

  • Foot & Ankle Surgery Podiatrist
  • Coconut Creek, FL
  • NPI 1952361891
  Medicare reassignment NPD Authorized official
• Gary S Wallach DPM PA

  • Foot Surgery Podiatrist
  • Ft Lauderdale, FL
  • NPI 1013020924
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• All County Health Care, Inc.

  • Home Health Agency
  • Lauderdale Lakes, FL
  • NPI 1003935909
  Care Compare affiliation

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501372800000",
    "number": "1104811744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4855 W HILLSBORO BLVD",
            "address_2": "STE B6",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734356",
            "telephone_number": "561-989-9780",
            "fax_number": "561-989-9781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4855 W HILLSBORO BLVD",
            "address_2": "STE B6",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734356",
            "telephone_number": "561-989-9780",
            "fax_number": "561-989-9781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LULLOVE",
        "first_name": "ERIC",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2017-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO 3133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340480300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caitlyn Alexia Lubo, OD
• Karine Lucien, PHARMD
• Martin P Ludwig
• Luis F Gomez DDS PA
• Piper Lukas, MS
• Meghann Lussier, DMD
• Luxottica of America Inc.
• Devon Matthew Lyons, DC
• Aline Santana Machado Barros
• Magestic Total Care

• Foot & Ankle Surgery Podiatrist in Coconut Creek, FL
• Providers in Coconut Creek, FL by specialty
• Foot & Ankle Surgery Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.