Ramon Ivan Lugo, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DS029647L Issued in PA

Practice address

200 Walnut St.
Philadelphia, PA 19106-4332

Phone

(215) 923-2233

Fax

(888) 608-7353

NPI assigned

Sep 29, 2009

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 NY

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sun River Health Inc

  • Federally Qualified Health Center (FQHC)
  • Amenia, NY
  • NPI 1568526838
  Medicare reassignment NPD
• Liberty Family Dental, PC

  • Dentist
  • Poughkeepsie, NY
  • NPI 1255196119
  NPD Authorized official
• Liberty Dental, LLC

  • Dentist
  • Philadelphia, PA
  • NPI 1891023263
  NPD (past) Authorized official
• Sun River Health Inc

  • Adult Day Care Clinic/Center
  • Bronx, NY
  • NPI 1740763275
  NPD
• Sun River Health Inc.

  • Federally Qualified Health Center (FQHC)
  • Peekskill, NY
  • NPI 1619969458
  NPD

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

{
    "created_epoch": "1254182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254182400000",
    "number": "1508190109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 WALNUT STREET",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191064332",
            "telephone_number": "215-923-2233",
            "fax_number": "888-608-7353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WALNUT ST.",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191064332",
            "telephone_number": "215-923-2233",
            "fax_number": "888-608-7353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUGO",
        "first_name": "RAMON",
        "middle_name": "IVAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-29",
        "last_updated": "2009-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS029647L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darren Michael Lugiano, DC
• Adam Luginbuhl, M.D.
• Andy W Lugo, LCSW
• Casetty Caylin Lugo
• Maria Lugo, MA
• Jillian Lugtu, PHARMD
• Joey Luh, PA-C
• Daniel Lui, PHARMD
• Luigi a. Cianci,MD.,PC
• Anthony Luistro, MD

• Dentist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.