Active NPI
Tri County Physician Homecare
- Family Medicine Physician
- Linden, NJ
National Provider Identifier
1497874838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MB55113
- Legal business name
- TRI COUNTY PHYSICIAN HOMECARE
- Practice address
- 850 N Wood Ave
Linden, NJ 07036-4038 - Phone
- (908) 925-9309
- Fax
- (908) 925-7910
- NPI assigned
- Mar 28, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kevin E Lukenda, D.O.
- Title
- Doctor
- Phone
- (908) 925-9309
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MB55113 | NJ | Primary |
Addresses
Primary practice location
850 N Wood Ave
Linden, NJ 07036-4038
Mailing address
PO Box 231
Lincroft, NJ 07738-0231
Phone (908) 925-9309
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Linden, NJ
- NPI 1467407759
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214352000000",
"number": "1497874838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 231",
"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": "070364038",
"telephone_number": "908-925-9309",
"fax_number": "908-925-7910"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRI COUNTY PHYSICIAN HOMECARE",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-28",
"last_updated": "2008-06-25",
"status": "A",
"authorized_official_last_name": "LUKENDA",
"authorized_official_first_name": "KEVIN",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "908-925-9309",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "NJ",
"license": "MB55113",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Linden, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.