Individual provider Active NPI

Anabel Lucanie, MD

  • Internal Medicine Physician
  • Ramsey, NJ
National Provider Identifier
1295736577
Registry record updated Jul 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA54252 Issued in NJ
Practice address
470 N Franklin Tpke Ste 203
Ramsey, NJ 07446-1385
Phone
(201) 327-0500
Fax
(201) 327-8612
NPI assigned
Aug 9, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2020

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 25MA54252 NJ Primary

Addresses

Primary practice location

470 N Franklin Tpke Ste 203
Ramsey, NJ 07446-1385

Mailing address

470 N Franklin Tpke Ste 203
Ramsey, NJ 07446-1385
Phone (201) 327-0500

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address al@vdmc.medentdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20050712000169 NJ Practitioner - Internal Medicine 4183650195 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Valley Diagnostic Medical CenterGroup PAC ID 3971606286, 6 clinicians

Practice addresses (Care Compare)

470 N Franklin Tpke
Suite 203
Ramsey, NJ 07446-1120
Phone (201) 327-0500

470 N Franklin Tpke
Suite 203
Ramsey, NJ 07446-1385

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.05 of 100Reported as apm
Quality
85.71
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA54252NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Diagnostic Medical Center Internal Medicine CurrentSince Aug 21, 1990 Accepting new patients

Locations

581 N Franklin Tpke
Ramsey, NJ 07446
Phone (201) 236-2100

470 N Franklin Tpke
Ste 203
Ramsey, NJ 07446
Phone (201) 327-0500

Interoperability endpoints

  • Direct secure messaging: al@vdmc.medentdirect.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596067200000",
    "number": "1295736577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 N FRANKLIN TPKE STE 203",
            "city": "RAMSEY",
            "state": "NJ",
            "postal_code": "074461385",
            "telephone_number": "201-327-0500",
            "fax_number": "201-327-8612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 N FRANKLIN TPKE STE 203",
            "city": "RAMSEY",
            "state": "NJ",
            "postal_code": "074461385",
            "telephone_number": "201-327-0500",
            "fax_number": "201-327-8612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCANIE",
        "first_name": "ANABEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-09",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA54252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "al@vdmc.medentdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "470 N Franklin Tpke Ste 203",
            "city": "Ramsey",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "074461385",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ramsey, NJ

Sources for this page

Verify at the official NPI Registry.