Individual provider Active NPI

Barbara Lynne Lukash, M.D.

  • Dermatology Physician
  • New Rochelle, NY
National Provider Identifier
1417049297
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
137921 Issued in NY
Practice address
14 Lawton St
New Rochelle, NY 10801-6349
Phone
(914) 712-2800
Fax
(914) 712-0155
NPI assigned
Sep 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 137921 NY Primary

Addresses

Primary practice location

14 Lawton St
New Rochelle, NY 10801-6349

Mailing address

14 Lawton St
New Rochelle, NY 10801-6349
Phone (914) 712-2800

Other identifiers 1

IdentifierTypeStateIssuer
00509339MedicaidNY

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

LicenseStateTypeSpecialty
137921NYMDDermatology 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": "1183852800000",
    "number": "1417049297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 LAWTON ST",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108016349",
            "telephone_number": "914-712-2800",
            "fax_number": "914-712-0155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 LAWTON ST",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108016349",
            "telephone_number": "914-712-2800",
            "fax_number": "914-712-0155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUKASH",
        "first_name": "BARBARA",
        "middle_name": "LYNNE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "137921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00509339",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Rochelle, NY

Sources for this page

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

Verify at the official NPI Registry.