Individual provider Active NPI

Richard Edward Luka, MD

  • Allergy & Immunology Physician
  • Garfield, NJ
National Provider Identifier
1447329198
Registry record updated Jul 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
MA062072 Issued in NJ
Practice address
22 Shaw Street
Garfield, NJ 07026
Phone
(973) 478-5550
Fax
(973) 478-2290
NPI assigned
Nov 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X MA062072 NJ Primary

Addresses

Primary practice location

22 Shaw Street
Garfield, NJ 07026

Mailing address

22 Shaw Street
Garfield, NJ 07026
Phone (973) 478-5550

Other identifiers 1

IdentifierTypeStateIssuer
7341806MedicaidNJ

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
I20120326000670 NJ Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 6901065150 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Internal Medicine
Education
Boston University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Consultants in Asthma, Allergy and Immunology, P.a.Group PAC ID 2860651007, 2 clinicians

Practice addresses (Care Compare)

22 Shaw St
Garfield, NJ 07026-2614
Phone (973) 478-5550

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA062072NJMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Consultants in Asthma, Allergy and Immunology, P.a. Allergy & Immunology CurrentSince Oct 23, 1997 Accepting new patients

Locations

1139 Raritan Rd
Ste 201
Clark, NJ 07066
Phone (732) 381-4634

67 Walnut Ave
Ste 402
Clark, NJ 07066
Phone (732) 499-9110

1011 Clifton Ave
Ste 24
Clifton, NJ 07013

1011 Clifton Ave
Ste 2
Clifton, NJ 07013
Phone (973) 471-9191

Organizations & group practices 1

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": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216857600000",
    "number": "1447329198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 SHAW STREET",
            "city": "GARFIELD",
            "state": "NJ",
            "postal_code": "07026",
            "telephone_number": "973-478-5550",
            "fax_number": "973-478-2290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 SHAW STREET",
            "city": "GARFIELD",
            "state": "NJ",
            "postal_code": "07026",
            "telephone_number": "973-478-5550",
            "fax_number": "973-478-2290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUKA",
        "first_name": "RICHARD",
        "middle_name": "EDWARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2008-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NJ",
            "license": "MA062072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7341806",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garfield, NJ

Sources for this page

Verify at the official NPI Registry.