Active NPI
John J Lucas, MD
- Psychiatry Physician
- Goshen, NY
National Provider Identifier
1356433114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 139706
- Practice address
- 1696 Route 17M
Goshen, NY 10924 - Phone
- (845) 634-6500
- Fax
- (845) 634-9424
- NPI assigned
- Sep 29, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 139706 | NY | Primary |
Addresses
Primary practice location
1696 Route 17M
Goshen, NY 10924
Mailing address
17 Squadron Blvd
400
New City, NY 10956-5214
Phone (845) 634-6500
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 139706 | NY | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1356433114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 SQUADRON BLVD",
"address_2": "400",
"city": "NEW CITY",
"state": "NY",
"postal_code": "109565214",
"telephone_number": "845-634-6500",
"fax_number": "845-634-9424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1696 ROUTE 17M",
"city": "GOSHEN",
"state": "NY",
"postal_code": "10924",
"telephone_number": "845-634-6500",
"fax_number": "845-634-9424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCAS",
"first_name": "JOHN",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-29",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "139706",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Goshen, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.