Active NPI
Hannah Marean Lu, PA-C
- Physician Assistant
- Rochester, NY
National Provider Identifier
1205180700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 015651
- Practice address
- 2337 South Clinton Ave
University of Rochester Sleep Center
Rochester, NY 14618-2645 - Phone
- (585) 341-7575
- Fax
- (585) 341-7595
- NPI assigned
- Nov 5, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 015651 | NY | Primary |
| Physician Assistant | 363A00000X | 25MP00287700 | NJ |
Addresses
Primary practice location
2337 South Clinton Ave
University of Rochester Sleep Center
Rochester, NY 14618-2645
Mailing address
2337 South Clinton Ave
University of Rochester Sleep Center
Rochester, NY 14618
Phone (585) 341-7575
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03750007 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015651 | NY | MD | Mental Health Counselor |
| 25MP00287700 | NJ | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464652800000",
"number": "1205180700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2337 SOUTH CLINTON AVE",
"address_2": "UNIVERSITY OF ROCHESTER SLEEP CENTER",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "14618",
"telephone_number": "585-341-7575",
"fax_number": "585-341-7595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2337 SOUTH CLINTON AVE",
"address_2": "UNIVERSITY OF ROCHESTER SLEEP CENTER",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146182645",
"telephone_number": "585-341-7575",
"fax_number": "585-341-7595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LU",
"first_name": "HANNAH",
"middle_name": "MAREAN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-05",
"last_updated": "2016-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "015651",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NJ",
"license": "25MP00287700",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03750007",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.