Konstantin Lukin

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

35SI00522900 Issued in NJ

Practice address

223 Bloomfield St
Ste 114
Hoboken, NJ 07030-4747

Phone

(917) 903-1901

NPI assigned

Feb 19, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lukin Center for Psychotherapy and Advancement PCGroup PAC ID 4183849052, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Lukin Center for Psychotherapy and Advancement PC

  • Clinical Psychologist
  • Ridgewood, NJ
  • NPI 1497170971
  Medicare reassignment Care Compare group Authorized official
• Intherapy Institute LLC

  • Psychologist
  • Hoboken, NJ
  • NPI 1235944596
  NPD Authorized official

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

{
    "created_epoch": "1392768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397779200000",
    "number": "1457776007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 BLOOMFIELD ST",
            "address_2": "STE 114",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070304747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 BLOOMFIELD ST",
            "address_2": "STE 114",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070304747",
            "telephone_number": "917-903-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUKIN",
        "first_name": "KONSTANTIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-02-19",
        "last_updated": "2014-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00522900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean Marie Lucarelli, MS, CCC SLP
• Robin N Lucas, DMD
• Carolyn Lucia, LCSW
• Samantha Luft
• Irene Mae Lui, OD
• Matthew Luongo, RDN, CSSD, CDN
• Allison Luton
• Natalie Victoria Lutz, L.AC.
• Patricia F Lynch, DMD
• John Sherry Lyons, MD

• Clinical Psychologist in Hoboken, NJ
• Providers in Hoboken, NJ by specialty
• Clinical Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.