Individual provider Active NPI

Leticia S Luna, MD PA

  • Cardiovascular Disease Physician
  • Jersey City, NJ
National Provider Identifier
1205985181
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
NJLIC26756MA Issued in NJ
Practice address
268 St Pauls Ave
Jersey City, NJ 07306-5012
Phone
(201) 222-6500
Fax
(201) 222-6277
NPI assigned
Jan 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X NJLIC26756MA NJ Primary

Addresses

Primary practice location

268 St Pauls Ave
Jersey City, NJ 07306-5012

Mailing address

268 St Pauls Ave
Jersey City, NJ 07306-5012
Phone (201) 222-6500

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
Doctor of Medicine, Physician Assistant

State licenses

LicenseStateTypeSpecialty
NJLIC26756MANJMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Mary Cardiology Associates Cardiovascular Disease Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205985181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "268 ST PAULS AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073065012",
            "telephone_number": "201-222-6500",
            "fax_number": "201-222-6277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 ST PAULS AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073065012",
            "telephone_number": "201-222-6500",
            "fax_number": "201-222-6277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNA",
        "first_name": "LETICIA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "NJLIC26756MA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.