Individual provider Active NPI

Philip Barrie Luloff, MD

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1538267380
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
126341-1 Issued in NY
Practice address
240 Central Park South
Suite 40
New York, NY 10019-1453
Phone
(212) 757-6650
Fax
(212) 246-3691
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 126341-1 NY Primary

Addresses

Primary practice location

240 Central Park South
Suite 40
New York, NY 10019-1453

Mailing address

240 Central Park South
Suite 93
New York, NY 10019-1453
Phone (212) 757-6650

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 13, 2014 through Jan 13, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
126341-1NYMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538267380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 CENTRAL PARK SOUTH",
            "address_2": "SUITE 93",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191453",
            "telephone_number": "212-757-6650",
            "fax_number": "212-246-3691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 CENTRAL PARK SOUTH",
            "address_2": "SUITE 40",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191453",
            "telephone_number": "212-757-6650",
            "fax_number": "212-246-3691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LULOFF",
        "first_name": "PHILIP",
        "middle_name": "BARRIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "126341-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.