NPIMap

Individual provider Active NPI

Philip Faber Lukoff, D.P.M.

  • Foot Surgery Podiatrist
  • Natick, MA
National Provider Identifier
1407817992
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
1735 Issued in MA
Practice address
192 Worcester Rd
Natick, MA 01760-2252
Phone
(508) 650-3668
Fax
(508) 650-1159
NPI assigned
Apr 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 1735 MA
Podiatrist 213E00000X 1735 MA
Primary Podiatric Medicine Podiatrist 213EP1101X 1735 MA
Foot & Ankle Surgery Podiatrist 213ES0103X 1735 MA
Foot Surgery Podiatrist 213ES0131X 1735 MA Primary

Addresses

Primary practice location

192 Worcester Rd
Natick, MA 01760-2252

Mailing address

190 S Quinsigamond Ave Apt 203
Shrewsbury, MA 01545-4279
Phone (508) 650-3668

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

State licenses

LicenseStateTypeSpecialty
1735MAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Royal Rehab Center, Inc Past Accepting new patients
Back and Balance Rehabilitation Center Past Accepting new patients
Foot Care Specialists, P.C. Podiatrist Past Accepting new patients

Organizations & group practices 3

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": "1143849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1407817992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 S QUINSIGAMOND AVE APT 203",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015454279",
            "telephone_number": "508-650-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 WORCESTER RD",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017602252",
            "telephone_number": "508-650-3668",
            "fax_number": "508-650-1159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUKOFF",
        "first_name": "PHILIP",
        "middle_name": "FABER",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-01",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MA",
            "license": "1735",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MA",
            "license": "1735",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "MA",
            "license": "1735",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MA",
            "license": "1735",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "MA",
            "license": "1735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Natick, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; 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.