Daniel Kevin Mateo Lusung

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

40QB00404900 Issued in NJ

Practice address

276 US Highway 202
#31
Flemington, NJ 08822

Phone

(908) 751-7330

NPI assigned

Jul 6, 2023

Last updated

Jul 6, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1688601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1366120719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MOUNT BETHEL RD",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070595603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "276 US HIGHWAY 202",
            "address_2": "#31",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "08822",
            "telephone_number": "908-751-7330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9 Mount Bethel Rd",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "NJ",
            "postal_code": "070595603",
            "country_code": "US",
            "telephone_number": "908-350-6050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUSUNG",
        "first_name": "DANIEL KEVIN",
        "middle_name": "MATEO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-06",
        "last_updated": "2023-07-06",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NJ",
            "license": "40QB00404900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ava Caroline Lorenzo, PSYD
• Lourdes Maldonado-Viera MD LLC
• Stephanie A Lowe, APN
• Deborah Lynn Lukens, LCSW
• Melissa Ann Lumkong, APN
• Emily Ly-Schroeder, O.D.
• Lynda A. Mabene, DMD
• Liza Macnamara
• Sujana Madhireddy, RPH
• Paul W Madonia, MD

• Physical Therapy Assistant in Flemington, NJ
• Providers in Flemington, NJ by specialty
• Physical Therapy Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.