NPIMap

Individual provider Active NPI

Robert Lukenda, D.O.

  • Student in an Organized Health Care Education/Training Program
  • Cranford, NJ
National Provider Identifier
1144470600
Registry record updated May 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
216 North Ave E
Cranford, NJ 07016-2441
Phone
(908) 275-3810
Fax
(908) 275-8825
NPI assigned
Sep 22, 2008
Last updated
May 26, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary
Family Medicine Physician 207Q00000X 25MB08803900 NJ

Addresses

Primary practice location

216 North Ave E
Cranford, NJ 07016-2441

Mailing address

PO Box 1694
Cranford, NJ 07016-5694
Phone (908) 275-3810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110520000701 NJ Practitioner - Family Practice 1759567472 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New Jersey Family MedicalGroup PAC ID 9537345806, 2 clinicians

Practice addresses (Care Compare)

216 N E Ave
Cranford, NJ 07016-2473

27 S Ave W
Cranford, NJ 07016-2660
Phone (908) 275-3810

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New Jersey Family Medical Family Medicine CurrentSince Jan 9, 2011 Accepting new patients
Cornell Hall Care & Rehabilitation Center LLC Past Accepting new patients

Locations

216 North Ave E
Cranford, NJ 07016
Phone (908) 272-7500

Organizations & group practices 2

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.

Hospital & facility affiliations 9

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

NPI Registry JSON

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

{
    "created_epoch": "1222041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306368000000",
    "number": "1144470600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1694",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070165694",
            "telephone_number": "908-275-3810",
            "fax_number": "908-275-8825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 NORTH AVE E",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070162441",
            "telephone_number": "908-275-3810",
            "fax_number": "908-275-8825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUKENDA",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-22",
        "last_updated": "2011-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB08803900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranford, NJ

Sources for this page

Verify at the official NPI Registry.