Individual provider Active NPI

Rebecca Y. Lu, MD

  • MOHS-Micrographic Surgery Physician
  • Warren, NJ
National Provider Identifier
1144483116
Registry record updated Dec 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
25MA08557200 Issued in NJ
Practice address
7 Mount Bethel Rd
Suite C
Warren, NJ 07059-2636
Phone
(908) 787-8088
Fax
(908) 368-8648
NPI assigned
Jul 9, 2008
Last updated
Dec 3, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 246835 NY
MOHS-Micrographic Surgery Physician 207ND0101X 25MA08557200 NJ Primary

Addresses

Primary practice location

7 Mount Bethel Rd
Suite C
Warren, NJ 07059-2636

Mailing address

7 Mount Bethel Rd
Suite C
Warren, NJ 07059-2636
Phone (908) 787-8088

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20100208000576 NJ Practitioner - Dermatology 0749323160 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Baylor College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5 Mountain Blvd
Suite 2
Warren, NJ 07059-2625
Phone (908) 787-8088

Merit-based Incentive Payment System (MIPS)

Final score
54.18 of 100Reported as individual
Quality
21.05
Promoting interoperability
92
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision206
Removal of skin lesions1768
Removal of skin cancer557
Removal or shaving of skin growth114
Skin biopsy417

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
246835NYMDDermatology Physician
25MA08557200NJMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rebecca Lu MD CurrentSince May 1, 2015 Accepting new patients
Shonta D Collins Consulting Group LLC PastSince Feb 23, 2020 Accepting new patients

Locations

5 Mountain Blvd
Ste 2
Warren, NJ 07059
Phone (908) 769-9800

7 Mount Bethel Rd
Ste C
Warren, NJ 07059
Phone (908) 380-7764

Interoperability endpoints

  • Direct secure messaging: rlu59089@epicdirect.rwjbh.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449100800000",
    "number": "1144483116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 MOUNT BETHEL RD",
            "address_2": "SUITE C",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070592636",
            "telephone_number": "908-787-8088",
            "fax_number": "908-368-8648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 MOUNT BETHEL RD",
            "address_2": "SUITE C",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070592636",
            "telephone_number": "908-787-8088",
            "fax_number": "908-368-8648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LU",
        "first_name": "REBECCA",
        "middle_name": "Y.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-09",
        "last_updated": "2015-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "246835",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NJ",
            "license": "25MA08557200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, NJ

Sources for this page

Verify at the official NPI Registry.