Lucille Regina Van Hook Spivack, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

141418 Issued in NY

Practice address

1120 Morris Park Ave
Suite 4a
Bronx, NY 10461-1400

Phone

(718) 828-4227

Fax

(718) 828-4227

NPI assigned

Aug 23, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mrs. Lucille Regina Van Hook Other name

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

Specialty

Internal Medicine

Education

Other, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• VNS of Ny Home Care Chha Home health agency, New York, NY, CCN 337008
• Americare Certified Special Services, Inc Chha Home health agency, Brooklyn, NY, CCN 337290

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Lucille R. Van Hook Spivack MD PC

  • Legal Medicine
  • Bronx, NY
  • NPI 1487801437
  Medicare reassignment NPD

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

• Americare Certified Special Services, Inc.

  • Home Health Agency
  • Brooklyn, NY
  • NPI 1770513145
  Care Compare affiliation
• Visiting Nurse Service of New York Home Care II

  dba Visiting Nurse Service of New York Home Care

  • Home Health Agency
  • New York, NY
  • NPI 1528059805
  Care Compare affiliation

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213747200000",
    "number": "1346233673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749",
            "address_2": "BAY CHESTER POST OFFICE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104690701",
            "telephone_number": "718-828-4227",
            "fax_number": "718-828-4227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 MORRIS PARK AVE",
            "address_2": "SUITE 4A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104611400",
            "telephone_number": "718-828-4227",
            "fax_number": "718-828-4227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN HOOK SPIVACK",
        "first_name": "LUCILLE",
        "middle_name": "REGINA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-23",
        "last_updated": "2008-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "141418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01095129",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUCILLE",
            "last_name": "VAN HOOK",
            "middle_name": "REGINA",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Anais Valverde, LMSW
• Anne Rogness Van Arsdale, MD
• Van Cortlandt Medical Office
• Kendra Ronise Van Dyke
• Miriam Van Harn, RDN
• Marcie Ann Van Hoven
• Bianca D Van Kust, MD
• Katherine Van Loan
• Aimee Van-Eiker
• Cindy Van, PHARMD

• Internal Medicine Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.