Organization Active NPI

De Lucia Advance Practice

  • Acute Care Nurse Practitioner
  • North Bergen, NJ
National Provider Identifier
1194061879
Registry record updated Dec 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
26NJ00060000 Issued in NJ
Legal business name
DE LUCIA ADVANCE PRACTICE
Practice address
7617 Kennedy Blvd
North Bergen, NJ 07047-4024
Phone
(201) 854-1500
Fax
(201) 854-1505
NPI assigned
Dec 27, 2012
Last updated
Dec 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2014

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

Authorized official

Name
Ms. Lauren Michele De Lucia, ACNP-BCNPI 1053346262
Title
Ceo/Owner
Phone
(201) 854-1500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2100X 26NJ00060000 NJ Primary

Addresses

Primary practice location

7617 Kennedy Blvd
North Bergen, NJ 07047-4024

Mailing address

7617 Kennedy Blvd
North Bergen, NJ 07047-4024
Phone (201) 854-1500

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2052697De Lucia Advance Practice LLC7617 Kennedy Blvd, North Bergen, NJ 07047Certificate of waiverJan 15, 2027

National Provider Directory

National Provider Directory

Locations

7617 Kennedy Blvd
North Bergen, NJ 07047
Phone (201) 854-1500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1356566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418169600000",
    "number": "1194061879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7617 KENNEDY BLVD",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070474024",
            "telephone_number": "201-854-1500",
            "fax_number": "201-854-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7617 KENNEDY BLVD",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070474024",
            "telephone_number": "201-854-1500",
            "fax_number": "201-854-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DE LUCIA ADVANCE PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-27",
        "last_updated": "2014-12-10",
        "status": "A",
        "authorized_official_last_name": "DE LUCIA",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "MICHELE",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "201-854-1500",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ACNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NJ",
            "license": "26NJ00060000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bergen, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.