Individual provider Active NPI

James Jose Lukose, PA-C

  • Medical Physician Assistant
  • Brooklyn, NY
National Provider Identifier
1508282518
Registry record updated Mar 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
017440-1 Issued in NY
Practice address
350 Lenox Rd
5N
Brooklyn, NY 11226-2276
Phone
(347) 541-8636
NPI assigned
Mar 14, 2014
Last updated
Mar 14, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 017440-1 NY Primary

Addresses

Primary practice location

350 Lenox Rd
5N
Brooklyn, NY 11226-2276

Mailing address

350 Lenox Rd
5N
Brooklyn, NY 11226-2276
Phone (347) 541-8636

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141231001094 NY Practitioner - Physician Assistant 3476876251 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
State University of New York Downstate Medical Center, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Institute for Family HealthGroup PAC ID 9234048588, 188 clinicians

Practice addresses (Care Compare)

1824 Madison Ave
New York, NY 10035-3832
Phone (212) 423-4500

50 -98 E 168TH St
Bronx, NY 10452-7929
Phone (718) 293-3900

690 Amsterdam Ave
New York, NY 10025-6901
Phone (212) 865-4104

731 White Plains Rd
Bronx, NY 10473-2631
Phone (718) 589-8775

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
017440NYMDPsychologist
017440-1NYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Institute for Family Health CurrentSince May 14, 2014 Accepting new patients
The Institute for Family Health CurrentSince May 14, 2014 Accepting new patients
The Institute for Family Health Past Accepting new patients

Locations

1420 Ferris Pl
Bronx, NY 10461
Phone (718) 239-1610

1894 Walton Ave
Bronx, NY 10453
Phone (718) 583-2508

731 White Plains Rd
Bronx, NY 10473
Phone (718) 589-8324

140 Pine St
Kingston, NY 12401
Phone (844) 434-2778

279 Main St
Ste 101
New Paltz, NY 12561
Phone (845) 255-2930

1824 Madison Ave
New York, NY 10035
Phone (212) 423-4200

2090 Adam Clayton Powell Jr Blvd
New York, NY 10027
Phone (212) 553-6606

230 W 17th St
New York, NY 10011
Phone (212) 989-8999

690 Amsterdam Ave
New York, NY 10025
Phone (212) 865-4104

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1394755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394755200000",
    "number": "1508282518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 LENOX RD",
            "address_2": "5N",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112262276",
            "telephone_number": "347-541-8636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 LENOX RD",
            "address_2": "5N",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112262276",
            "telephone_number": "347-541-8636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUKOSE",
        "first_name": "JAMES",
        "middle_name": "JOSE",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-14",
        "last_updated": "2014-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "017440-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.