Jonathan Dela Luna, MD, LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD14529 Issued in RI

Legal business name

JONATHAN DELA LUNA, MD, LLC

Practice address

2180 Mendon Rd Ste 21
Cumberland, RI 02864-3825

Phone

(401) 333-3810

NPI assigned

Dec 8, 2017

Last updated

Dec 8, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan Villas Dela Luna, MDNPI 1649591421

Title

Member

Phone

(401) 333-3810

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Practitioners 1

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.

• Jonathan Villas Dela Luna, M.D.

  • Psychiatry Physician
  • Cumberland, RI
  • NPI 1649591421
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1512691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512691200000",
    "number": "1366957631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2180 MENDON RD STE 21",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "028643825",
            "telephone_number": "401-333-3810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 MENDON RD STE 21",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "028643825",
            "telephone_number": "401-333-3810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN DELA LUNA, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-08",
        "last_updated": "2017-12-08",
        "status": "A",
        "authorized_official_last_name": "DELA LUNA",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "VILLAS",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "401-333-3810",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "RI",
            "license": "MD14529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Naydeen Raeone Kafalas, LMHC
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• Valentina Karnaukh, M.S., CF-SLP
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• Psychiatry Physician in Cumberland, RI
• Providers in Cumberland, RI by specialty
• Psychiatry Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2017; 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.