Dmitri N. Luke, D.P.M. L.L.C.

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

License

25MD00295700 Issued in NJ

Legal business name

DMITRI N. LUKE, D.P.M. L.L.C.

Doing business as

Montvale Podiatry

Practice address

26 N Kinderkamack Rd
Montvale, NJ 07645-2109

Phone

(201) 573-0555

Fax

(201) 476-1349

NPI assigned

Nov 30, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Dmitri N. Luke, D.P.M.NPI 1699964452

Title

Owner

Phone

(201) 573-0555

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Montvale Podiatry Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ2 enrollments

Enrollment records 2

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dmitri N Luke, DPM

  • Foot & Ankle Surgery Podiatrist
  • Montvale, NJ
  • NPI 1699964452
  Medicare reassignment NPD Authorized official
• William Greco, DPM

  • Foot Surgery Podiatrist
  • New City, NY
  • NPI 1174509384
  NPD (past)

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

{
    "created_epoch": "1322611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322611200000",
    "number": "1326315763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 N KINDERKAMACK RD",
            "city": "MONTVALE",
            "state": "NJ",
            "postal_code": "076452109",
            "telephone_number": "201-573-0555",
            "fax_number": "201-476-1349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 N KINDERKAMACK RD",
            "city": "MONTVALE",
            "state": "NJ",
            "postal_code": "076452109",
            "telephone_number": "201-573-0555",
            "fax_number": "201-476-1349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DMITRI N. LUKE, D.P.M. L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-30",
        "last_updated": "2011-11-30",
        "status": "A",
        "authorized_official_last_name": "LUKE",
        "authorized_official_first_name": "DMITRI",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-573-0555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "NJ",
            "license": "25MD00295700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "175978",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Montvale Podiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Destini Decinti
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• Carol Jean Dinicolantonio, R.PH.
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• Ayla H Dunn, CPM
• Mary Elizabeth Dzibela, NTP
• Elements Psychological Services, LLC

• Podiatric Clinic/Center in Montvale, NJ
• Providers in Montvale, NJ by specialty
• Podiatric Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.