Susan L Lucak MD PC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

154388 Issued in NY

Legal business name

SUSAN L LUCAK MD PC

Practice address

903 Park Ave
Lower Level
New York, NY 10075-0338

Phone

(212) 861-0481

Fax

(914) 346-5176

NPI assigned

Jul 20, 2011

Last updated

Apr 25, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Susan L Lucak, MDNPI 1457439028

Title

President

Phone

(212) 861-0481

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Susan Lebedova Lucak, M.D. PC

  • Gastroenterology Physician
  • New York, NY
  • NPI 1457439028
  Authorized official Same address or phone

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

{
    "created_epoch": "1311120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366848000000",
    "number": "1528356839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 PARK AVE",
            "address_2": "FIRST FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750338",
            "telephone_number": "212-861-0481",
            "fax_number": "914-346-5176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 PARK AVE",
            "address_2": "LOWER LEVEL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750338",
            "telephone_number": "212-861-0481",
            "fax_number": "914-346-5176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN L LUCAK MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-20",
        "last_updated": "2013-04-25",
        "status": "A",
        "authorized_official_last_name": "LUCAK",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-861-0481",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "154388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan E Binder MD PC
• Susan E. Berey, DMD, P.C.
• Susan F Epstein PHD, Licensed Psychologist PLLC
• Susan G. Margolis MD PC
• Susan Karabin DDS and Edward Gottesman DDS PC
• Susan L. Ungar, M.D., P.C.
• Susan L.Grant, M.D.,P.C.
• Susan Lucak MD PC
• Susan M. D'Addario, LCSW
• Susan M. Shimmerlik, PH.D., Psychologist, P.C.

• Gastroenterology Physician in New York, NY
• Providers in New York, NY by specialty
• Gastroenterology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.