Individual provider Active NPI

Lucille Mary Pickney, MD

  • Anesthesiology Physician
  • Victoria, TX
National Provider Identifier
1255592200
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
P1482 Issued in TX
Practice address
1501 E Mockingbird LN
Suite 101
Victoria, TX 77904-2155
Phone
(361) 573-6291
Fax
(361) 576-2434
NPI assigned
Jun 23, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 292963 NY
Anesthesiology Physician 207L00000X P1482 TX Primary

Addresses

Primary practice location

1501 E Mockingbird LN
Suite 101
Victoria, TX 77904-2155

Mailing address

1501 E Mockingbird LN
Suite 101
Victoria, TX 77904-2155
Phone (361) 573-6291

Other practice location 1

1650 Grand Concourse
Bronx, NY 10457
Phone (718) 590-1800

Other identifiers 2

IdentifierTypeStateIssuer
51262OtherABA PRIMARY CERTIFICATION
326366707MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191016000613 NY Practitioner - Anesthesiology 5991950875 Reassigns benefits to 2 organizations
I20240322002947 NJ Practitioner - Anesthesiology 5991950875 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Jersey Healthcare Specialists PCGroup PAC ID 2668385253, 570 clinicians
Rwjbh Observation Associates LLCGroup PAC ID 5193137503, 995 clinicians

Practice addresses (Care Compare)

1945 Route 33
Ackerman 4
Neptune, NJ 07753
Phone (732) 776-4949

30 Prospect Ave
Hackensack, NJ 07601-1914
Phone (201) 488-0066

94 Old Short Hills Rd
Livingston, NJ 07039-5672
Phone (732) 369-5994

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
292963NYMDAnesthesiology Physician
P1482TXMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Apr 21, 2024 Accepting new patients
Jersey Shore Anesthesiology Associates PA Anesthesiology CurrentSince Mar 15, 2024 Accepting new patients
New Jersey Healthcare Specialists PC Anesthesiology CurrentSince Jun 1, 2024 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Apr 21, 2024 Accepting new patients
Interfaith Professional Physician Services, P.C. Anesthesiology CurrentSince Jul 15, 2022 Accepting new patients
Rwjbh Observation Associates LLC Anesthesiology CurrentSince Jul 27, 2025 Accepting new patients
North American Partners in Anesthesia LLP Anesthesiology CurrentSince Mar 7, 2023 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients

Locations

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

1944 State Route 33
Neptune, NJ 07753
Phone (732) 776-3787

1945 State Route 33
#4
Neptune, NJ 07753
Phone (732) 776-4949

331 Newman Springs Rd
Ste 220
Red Bank, NJ 07701
Phone (732) 807-0514

110 Rehill Ave
Somerville, NJ 08876
Phone (908) 429-5833

1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763

7 Southwoods Blvd
Ste 4
Albany, NY 12211

1650 Grand Concourse
Bronx, NY 10457
Phone (718) 294-7104

1545 Atlantic Ave
Brooklyn, NY 11213
Phone (718) 613-4175

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341

Interoperability endpoints

  • Direct secure messaging: lucille.pickney@direct.myteamcare.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations & group practices 9

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1255592200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 E MOCKINGBIRD LN",
            "address_2": "SUITE 101",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779042155",
            "telephone_number": "361-573-6291",
            "fax_number": "361-576-2434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 E MOCKINGBIRD LN",
            "address_2": "SUITE 101",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779042155",
            "telephone_number": "361-573-6291",
            "fax_number": "361-576-2434"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1650 Grand Concourse",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "10457",
            "country_code": "US",
            "telephone_number": "718-590-1800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PICKNEY",
        "first_name": "LUCILLE",
        "middle_name": "MARY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-23",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "292963",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "P1482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ABA PRIMARY CERTIFICATION",
            "identifier": "51262",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "326366707",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Victoria, TX

Sources for this page

Verify at the official NPI Registry.