Individual provider Active NPI

Anthony Mark Lujack, M.D.

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1265676035
Registry record updated May 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
266672 Issued in NY
Practice address
145 E 15TH St
Suite 1F
New York, NY 10003-3531
Phone
(212) 603-9300
NPI assigned
Apr 23, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 266672 NY Primary

Addresses

Primary practice location

145 E 15TH St
Suite 1F
New York, NY 10003-3531

Mailing address

145 E 15TH St
Suite 1F
New York, NY 10003-3531
Phone (212) 603-9300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20130625000015 NY Practitioner - Psychiatry 0547409542 Reassigns benefits to 1 organization
Practice locations: New York, NY

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Icahn School of Medicine at Mount Sinai Psychiatry CurrentSince Jan 1, 2016 Accepting new patients
Icahn School of Medicine at Mount Sinai Psychiatry CurrentSince Jan 1, 2016 Accepting new patients

Locations

10 Union Sq E
New York, NY 10003
Phone (212) 253-6800

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Organizations & group practices 3

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": "1240444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368316800000",
    "number": "1265676035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 E 15TH ST",
            "address_2": "SUITE 1F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033531",
            "telephone_number": "212-603-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 E 15TH ST",
            "address_2": "SUITE 1F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033531",
            "telephone_number": "212-603-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUJACK",
        "first_name": "ANTHONY",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-23",
        "last_updated": "2013-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "266672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.