Active NPI
Lucien Prince, MT
- Medical Technologist
- Valley Stream, NY
National Provider Identifier
1326584939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Technologist
- License
- 0165601
- Practice address
- 550 W Merrick Rd
Suite 2
Valley Stream, NY 11580-5101 - Phone
- (516) 986-5429
- Fax
- (516) 825-0112
- NPI assigned
- Jan 6, 2017
- Last updated
- Jan 6, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Technologist | 246QM0706X | 0165601 | NY | Primary |
Addresses
Primary practice location
550 W Merrick Rd
Suite 2
Valley Stream, NY 11580-5101
Mailing address
550 W Merrick Rd
Suite 2
Valley Stream, NY 11580-5101
Phone (516) 986-5429
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0165601 | NY | MD | Medical Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prince Center for the Visually Impaired | Medical Technologist | Current | Accepting new patients |
| Long Island Lighthouse for the Visually Impaired | Current | Accepting new patients | |
| Gella Dignity Care Services | Current | Accepting new patients |
Organizations & group practices 4
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.
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Medical Technologist
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- Home Health Agency
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483660800000",
"number": "1326584939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 W MERRICK RD",
"address_2": "SUITE 2",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115805101",
"telephone_number": "516-986-5429",
"fax_number": "516-825-0112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 W MERRICK RD",
"address_2": "SUITE 2",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115805101",
"telephone_number": "516-986-5429",
"fax_number": "516-825-0112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRINCE",
"first_name": "LUCIEN",
"name_prefix": "Dr.",
"credential": "MT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-01-06",
"last_updated": "2017-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "246QM0706X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Pathology, Medical Technologist",
"state": "NY",
"license": "0165601",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Valley Stream, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.