NPIMap

Individual provider Active NPI

Kevin E Lukenda, DO

  • Family Medicine Physician
  • Linden, NJ
National Provider Identifier
1467407759
Registry record updated Aug 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MB055113 Issued in NJ
Practice address
850 N Wood Ave
Linden, NJ 07036
Phone
(908) 925-9309
Fax
(908) 925-7910
NPI assigned
May 24, 2006
Last updated
Aug 7, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MB055113 NJ Primary

Addresses

Primary practice location

850 N Wood Ave
Linden, NJ 07036

Mailing address

PO Box 231
Lincroft 1
Lincroft, NJ 07738-0231
Phone (908) 925-9309

Other identifiers 1

IdentifierTypeStateIssuer
5604401MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050509000548 NJ Practitioner - Family PracticePractitioner - Internal Medicine 0446290555 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Internal Medicine
Education
Rowan University School of Osteopathic Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rwjbh Primary Care ServicesGroup PAC ID 0749699346, 266 clinicians

Practice addresses (Care Compare)

850 N Wood Ave
Linden, NJ 07036-4038
Phone (908) 925-9309

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MB055113NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Wood Johnson Physician Enterprise Family Medicine CurrentSince Aug 1, 2019 Accepting new patients
Rwjbh Primary Care Services Family Medicine CurrentSince Oct 2, 2021 Accepting new patients
Linden Family Medical LLC Family Medicine CurrentSince Jan 1, 2006 Accepting new patients
Tri County Physician Homecare Family Medicine PastSince Jan 1, 1990 Accepting new patients
North Arlington Primary Care Assoc. Past Accepting new patients
Robert Wood Johnson University Hospital at Rahway Past Accepting new patients
Linden Garden Estates Past Accepting new patients
Primary Care Physicians, Inc. Family Medicine Past Accepting new patients

Locations

850 N Wood Ave
Linden, NJ 07036
Phone (908) 486-4400

850 N Wood Ave
Fl 2
Linden, NJ 07036

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

25 Kilmer Dr
Ste 107
Morganville, NJ 07751
Phone (732) 385-5262

166 Lyons Ave
Newark, NJ 07112
Phone (973) 926-7300

379 Campus Dr
Fl 4
Somerset, NJ 08873
Phone (732) 507-6545

766 Shrewsbury Ave
Ste 100
Tinton Falls, NJ 07724
Phone (732) 945-2009

8 Mountain Blvd
Ste J
Warren, NJ 07059
Phone (732) 893-0200

Interoperability endpoints

  • Direct secure messaging: klukenda57216@epicdirect.rwjbh.org

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218067200000",
    "number": "1467407759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 231",
            "address_2": "LINCROFT 1",
            "city": "LINCROFT",
            "state": "NJ",
            "postal_code": "077380231",
            "telephone_number": "908-925-9309",
            "fax_number": "908-925-7910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 N WOOD AVE",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "07036",
            "telephone_number": "908-925-9309",
            "fax_number": "908-925-7910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUKENDA",
        "first_name": "KEVIN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2008-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MB055113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5604401",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Linden, NJ

Sources for this page

Verify at the official NPI Registry.