Individual provider Active NPI

James R. Lundy Jr., D.O.

  • Emergency Medicine Physician
  • New York, NY
National Provider Identifier
1467451757
Registry record updated Apr 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
25MB07371800 Issued in NJ
Practice address
250 W 90TH St
Apt. 10F
New York, NY 10024-1100
Phone
(347) 229-3727
NPI assigned
Jul 19, 2005
Last updated
Apr 6, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 1727 WV
Emergency Medicine Physician 207P00000X 0102201110 VA
Emergency Medicine Physician 207P00000X 25MB07371800 NJ Primary

Addresses

Primary practice location

250 W 90TH St
Apt. 10F
New York, NY 10024-1100

Mailing address

250 W 90TH St
Apt. 10F
New York, NY 10024-1100
Phone (347) 229-3727

Other identifiers 1

IdentifierTypeStateIssuer
8791309MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040609001166 NJ Practitioner - Emergency MedicinePractitioner - Internal Medicine 0446233670 Reassigns benefits to 2 organizations
I20070320000459 VA Practitioner - Emergency Medicine 0446233670 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Internal Medicine
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stadium Emergency AssociatesGroup PAC ID 6406150010, 24 clinicians

Practice addresses (Care Compare)

230 E Ridgewood Ave
Paramus, NJ 07652-4142
Phone (201) 967-4000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB07371800NJMDEmergency Medicine Physician
0102201110VAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Associates P.a., P.C. Emergency Medicine CurrentSince Jul 18, 2017 Accepting new patients
Stadium Emergency Associates CurrentSince Feb 1, 2020 Accepting new patients
Emergency Medicine Associates, P.a.,P.C. Current Accepting new patients
Garden State Healthcare Associates, LLC Emergency Medicine CurrentSince Sep 1, 2012 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Jul 18, 2017 Accepting new patients
Sheridan Emergency Physician Services of Virginia, Inc Emergency Medicine Past Accepting new patients
Essex Emergency Associates, P.a. Emergency Medicine Past Accepting new patients
Monacan Emgergency Physicians Emergency Medicine Past Accepting new patients
4M Emergency Systems of Parkersburg, Inc Emergency Medicine Past Accepting new patients
Beckley Emergency Physicians LLC Emergency Medicine Past Accepting new patients
WV Emergency Physician Partners PLLC Emergency Medicine Past Accepting new patients
Virginia Em-I Medical Services, PC Emergency Medicine Past Accepting new patients
Greenbrier Emergency Services, Inc. Emergency Medicine Past Accepting new patients
First Capital Emergency Physicians PLLC Emergency Medicine Past Accepting new patients
Essex Emergency Physicians, PC Emergency Medicine Past Accepting new patients

Locations

300 Central Ave
East Orange, NJ 07018
Phone (973) 266-8460

308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574

176 Palisade Ave
Jersey City, NJ 07306
Phone (201) 795-8200

230 E Ridgewood Ave
Paramus, NJ 07652
Phone (201) 225-4700

55 Meadowlands Pkwy
Secaucus, NJ 07094
Phone (201) 325-6744

66 W Gilbert St
Tinton Falls, NJ 07701
Phone (732) 212-0051

66 W Gilbert St
Fl 2
Tinton Falls, NJ 07701
Phone (732) 212-0051

727 N Main St
Emporia, VA 23847
Phone (434) 348-4400

15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000

8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586131200000",
    "number": "1467451757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 W 90TH ST",
            "address_2": "APT. 10F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100241100",
            "telephone_number": "347-229-3727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 W 90TH ST",
            "address_2": "APT. 10F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100241100",
            "telephone_number": "347-229-3727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNDY",
        "first_name": "JAMES",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WV",
            "license": "1727",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0102201110",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MB07371800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8791309",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.