Lucille R. Van Hook Spivack MD PC

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

141418 Issued in NY

Legal business name

LUCILLE R. VAN HOOK SPIVACK MD PC

Practice address

1120 Morris Park Ave
Bronx, NY 10461-1400

Phone

(718) 828-4227

NPI assigned

Aug 21, 2008

Organization subpart

No

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

Authorized official

Name

Lucille R Van Hook

Title

Sole Proprieter

Phone

(718) 828-4227

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

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

• Lucille Regina Van Hook Spivack, MD

  • Internal Medicine Physician
  • Bronx, NY
  • NPI 1346233673
  Medicare reassignment NPD
• Carl R Spivack, MD

  • Internal Medicine Physician
  • Bronx, NY
  • NPI 1386610079
  NPD (past)

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

{
    "created_epoch": "1219276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219276800000",
    "number": "1487801437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104690701",
            "telephone_number": "718-828-4227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 MORRIS PARK AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104611400",
            "telephone_number": "718-828-4227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCILLE R. VAN HOOK SPIVACK MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-21",
        "last_updated": "2008-08-21",
        "status": "A",
        "authorized_official_last_name": "VAN HOOK",
        "authorized_official_first_name": "LUCILLE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "SOLE PROPRIETER",
        "authorized_official_telephone_number": "718-828-4227"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "NY",
            "license": "141418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Maria Luciano, LMSW
• Miguel Luciano, RT
• Stephanie Marie Luciano
• Christopher Jon Lucido, DMD
• Joan Michelle Lucien, M.PHIL., M.S.
• Andyra Lucius, AUD
• Quiana Luck
• Dawn Luckey-Jackson, LCSW-R
• Randi Luckman, M.S,C.P.C, C.H.C, CM
• Courtney Lucyk, AGACNP, RN

• Legal Medicine in Bronx, NY
• Providers in Bronx, NY by specialty
• Legal Medicine in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.