Active NPI
Jason Gregory Lulejian, D.O.
- Psychiatry Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- OS18853
- Practice address
- 820 Prudential Dr Ste 510
Jacksonville, FL 32207-8207 - Phone
- (904) 376-3800
- NPI assigned
- Jun 9, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 13
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | OS18853 | FL | |
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | 297758 | NY | |
| Psychiatry Physician | 2084P0800X | 1016675 | MA | |
| Psychiatry Physician | 2084P0800X | OS020665 | PA | |
| Psychiatry Physician | 2084P0800X | DO217288 | OR | |
| Psychiatry Physician | 2084P0800X | 032.0134177 | VT | |
| Psychiatry Physician | 2084P0800X | 036166039 | IL | |
| Psychiatry Physician | 2084P0800X | 297758 | NY | |
| Psychiatry Physician | 2084P0800X | O-1867 | ID | |
| Psychiatry Physician | 2084P0800X | 25MB11880300 | NJ | |
| Psychiatry Physician | 2084P0800X | OP61439144 | WA | |
| Psychiatry Physician | 2084P0800X | DR.0073625 | CO | |
| Psychiatry Physician | 2084P0800X | OS18853 | FL | Primary |
Addresses
Primary practice location
820 Prudential Dr Ste 510
Jacksonville, FL 32207-8207
Mailing address
PO Box 748519
Atlanta, GA 30374-8519
Phone (904) 376-3800
Other practice location 1
750 E Adams St
Syracuse, NY 13210-2306
Phone (315) 124-5643
Other practice location 2
9995 Gate Pkwy N
Jacksonville, FL 32246-4481
Phone (904) 981-1616
Other practice location 3
800 Irving Ave
Syracuse, NY 13210-2716
Phone (315) 425-4400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, PA, FL, NJ, WA, IL, MA, VT, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 9
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 297758 | NY | MD | Addiction Medicine (Psychiatry & Neurology) Physician |
| DR.0073625 | CO | MD | Psychiatry Physician |
| OS18853 | FL | MD | Psychiatry Physician |
| O-1867 | ID | MD | Psychiatry Physician |
| 036166039 | IL | MD | Psychiatry Physician |
| 1016675 | MA | MD | Psychiatry Physician |
| 25MB11880300 | NJ | MD | Psychiatry Physician |
| DO217288 | OR | MD | Psychiatry Physician |
| OS020665 | PA | MD | Psychiatry Physician |
| 032.0134177 | VT | MD | Psychiatry Physician |
| OP61439144 | WA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicare Health System | Current | Accepting new patients | |
| Valera Medical, P.C. | Psychiatry | Current | Accepting new patients |
| Albany Medical College | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Personal Recovery Network LLC | Psychiatry | Current | Accepting new patients |
| Teladoc Health Medical Group, P.a. | Psychiatry | Current | Accepting new patients |
| Big Leap Medical Group PA | Psychiatry | Current | Accepting new patients |
| Psychiatry Faculty Practice, Inc. | Psychiatry | Current | Accepting new patients |
| Albany Medical College | Psychiatry | Current | Accepting new patients |
| Valera Medical, P.a. | Psychiatry | Current | Accepting new patients |
| Albany Medical College | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Psychiatry | Current | Accepting new patients |
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Valera Medical, P.a. | Psychiatry | Current | Accepting new patients |
| Southern Baptist Hospital of Florida Inc | Past | Accepting new patients |
Locations
720 S Colorado Blvd
Ph N
Glendale, CO 80246
Phone (833) 988-0589
14645 NW 77th Ave
Ste 101
Miami Lakes, FL 33014
Phone (786) 785-9033
1800 Pembrook Dr
Ste 300
Orlando, FL 32810
Phone (321) 200-4489
250 Corporate Center Ct
Stockbridge, GA 30281
Phone (770) 954-8685
980 N Michigan Ave
Ste 1400
Chicago, IL 60611
Phone (312) 214-3605
225 Cedar Hill St
Ste 200
Marlborough, MA 01752
Phone (617) 863-9090
221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902
5170 US Highway 9
Howell, NJ 07731
Phone (332) 334-1511
47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773
134 N 4th St
Brooklyn, NY 11249
134 N 4th St
Ofc 2168
Brooklyn, NY 11249
139 Centre St
Ste 824
New York, NY 10013
Phone (646) 450-7751
169 Madison Ave
Ste 2828
New York, NY 10016
Phone (332) 330-4076
295 Madison Ave
Rm 407
New York, NY 10017
Phone (332) 334-1511
750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363
713 Harrison St
Bldg 3
Syracuse, NY 13210
Phone (315) 464-3265
2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100
205 S Front St
Fl 5
Harrisburg, PA 17104
Phone (717) 231-8360
1 Lawson Ln
Ste 200D
Burlington, VT 05401
Phone (802) 236-6742
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
222 State Ave N
Kent, WA 98030
Phone (253) 372-7680
1455 NW Leary Way
Ste 400
Seattle, WA 98107
Phone (206) 202-8506
Interoperability endpoints
- lulejiaj@hiemail.healtheconnections.org
- jasonlulejian@tdh.allscriptsdirect.net
Organizations & group practices 17
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.
-
- Allergy & Immunology Physician
- Albany, NY
- NPI 1497921688
-
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
- Family Medicine Physician
- Harrisburg, PA
- NPI 1932143427
-
- Psychiatry Physician
- Syracuse, NY
- NPI 1881084820
-
- Urgent Care Clinic/Center
- Albany, NY
- NPI 1386038925
-
- Psychiatry Physician
- Albany, NY
- NPI 1447284328
-
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718582400000",
"number": "1245643048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 748519",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303748519",
"telephone_number": "904-376-3800",
"fax_number": "904-376-3998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 PRUDENTIAL DR STE 510",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322078207",
"telephone_number": "904-376-3800"
}
],
"practiceLocations": [
{
"address_1": "750 E Adams St",
"address_purpose": "LOCATION",
"city": "Syracuse",
"state": "NY",
"postal_code": "132102306",
"country_code": "US",
"telephone_number": "315-124-5643",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9995 Gate Pkwy N",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322464481",
"country_code": "US",
"telephone_number": "904-981-1616",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "800 Irving Ave",
"address_purpose": "LOCATION",
"city": "Syracuse",
"state": "NY",
"postal_code": "132102716",
"country_code": "US",
"telephone_number": "315-425-4400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LULEJIAN",
"first_name": "JASON",
"middle_name": "GREGORY",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-09",
"last_updated": "2024-06-17",
"certification_date": "2024-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "2084A0401X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"state": "FL",
"license": "OS18853",
"primary": false
},
{
"code": "2084A0401X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"state": "NY",
"license": "297758",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "1016675",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "OS020665",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OR",
"license": "DO217288",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VT",
"license": "032.0134177",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "036166039",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "297758",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "ID",
"license": "O-1867",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NJ",
"license": "25MB11880300",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WA",
"license": "OP61439144",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CO",
"license": "DR.0073625",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "OS18853",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.