NPIMap

Organization Active NPI

Yevgenia Lukovsky

  • Oxygen Equipment & Supplies (DME)
  • Philadelphia, PA
National Provider Identifier
1417137381
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
YEVGENIA LUKOVSKY
Practice address
10890 Bustleton Ave
Suite 100
Philadelphia, PA 19116-3313
Phone
(215) 676-7622
Fax
(215) 934-7822
NPI assigned
Nov 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Authorized official

Name
Yevgenia LukovskyNPI 1356404511
Title
Owner
Phone
(215) 676-7622

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X PA Primary

Addresses

Primary practice location

10890 Bustleton Ave
Suite 100
Philadelphia, PA 19116-3313

Mailing address

10890 Bustleton Ave
Suite 100
Philadelphia, PA 19116-3313
Phone (215) 676-7622

Other identifiers 2

IdentifierTypeStateIssuer
32324OtherPAHEALTH PARTNERS
0016324220002MedicaidPA

Other names 1

  • ALPHABETA MEDICAL EQUIPMENT Other name

National Provider Directory

National Provider Directory

Locations

10890 Bustleton Ave
Ste 100
Philadelphia, PA 19116
Phone (215) 676-7622

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729123200000",
    "number": "1417137381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10890 BUSTLETON AVE",
            "address_2": "SUITE 100",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191163313",
            "telephone_number": "215-676-7622",
            "fax_number": "215-934-7822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10890 BUSTLETON AVE",
            "address_2": "SUITE 100",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191163313",
            "telephone_number": "215-676-7622",
            "fax_number": "215-934-7822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YEVGENIA LUKOVSKY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-08",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A",
        "authorized_official_last_name": "LUKOVSKY",
        "authorized_official_first_name": "YEVGENIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-676-7622"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "32324",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016324220002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALPHABETA MEDICAL EQUIPMENT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.