Individual provider Active NPI

Lucian J Introcaso, MD

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Pennsauken, NJ
National Provider Identifier
1386795680
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X
License
25MA04506200 Issued in NJ
Practice address
9370 N Crescent Blvd Ste 200
Pennsauken, NJ 08110-1375
Phone
(856) 662-0660
NPI assigned
Jan 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA04506200 NJ
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X 25MA04506200 NJ Primary

Addresses

Primary practice location

9370 N Crescent Blvd Ste 200
Pennsauken, NJ 08110-1375

Mailing address

2 Crestmont LN
Collingswood, NJ 08108-1487
Phone (856) 662-0660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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

Enrollment IDStateProvider typePAC IDDetails
I20230123001247 NJ Practitioner - Preventive Medicine 1052782448 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA04506200NJMDPreventive Medicine/Occupational Environmental Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care of New Jersey PA CurrentSince Dec 12, 2022 Accepting new patients
American Current Care of New Jersey PA CurrentSince Dec 12, 2022 Accepting new patients
American Current Care of New Jersey PA Current Accepting new patients
American Current Care of New Jersey, P.a. Current Accepting new patients

Locations

595 Division St
Elizabeth, NJ 07201
Phone (908) 289-5646

817 E Gate Dr
#102
Mount Laurel, NJ 08054
Phone (856) 778-1090

9370 N Route 130
Ste 200
Pennsauken, NJ 08110
Phone (856) 662-0604

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1386795680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CRESTMONT LN",
            "city": "COLLINGSWOOD",
            "state": "NJ",
            "postal_code": "081081487",
            "telephone_number": "856-662-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9370 N CRESCENT BLVD STE 200",
            "city": "PENNSAUKEN",
            "state": "NJ",
            "postal_code": "081101375",
            "telephone_number": "856-662-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INTROCASO",
        "first_name": "LUCIAN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-15",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA04506200",
            "primary": false
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "NJ",
            "license": "25MA04506200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pennsauken, NJ

Sources for this page

Verify at the official NPI Registry.