Individual provider Active NPI

Arthur Jesse Luskin, MD

  • Internal Medicine Physician
  • Stuart, FL
National Provider Identifier
1245490267
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
LL643 Issued in FL
Practice address
417 SE Balboa Ave
Stuart, FL 34994
Phone
(772) 463-4128
Fax
(772) 463-4129
NPI assigned
Jun 12, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X LL643 FL Primary

Addresses

Primary practice location

417 SE Balboa Ave
Stuart, FL 34994

Mailing address

417 SE Balboa Ave
Stuart, FL 34994
Phone (772) 463-4128

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
LL643FLMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213228800000",
    "number": "1245490267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 SE BALBOA AVE",
            "city": "STUART",
            "state": "FL",
            "postal_code": "34994",
            "telephone_number": "772-463-4128",
            "fax_number": "772-463-4129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 SE BALBOA AVE",
            "city": "STUART",
            "state": "FL",
            "postal_code": "34994",
            "telephone_number": "772-463-4128",
            "fax_number": "772-463-4129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUSKIN",
        "first_name": "ARTHUR",
        "middle_name": "JESSE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-12",
        "last_updated": "2008-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "LL643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; 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.