Individual provider Active NPI

Jing Rong Lu, NURSE PRATITIONER

  • Adult Health Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1538794045
Registry record updated Mar 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F309513-01 Issued in NY
Practice address
757 60TH St
Brooklyn, NY 11220-4209
Phone
(718) 567-8899
NPI assigned
Mar 4, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F309513-01 NY Primary

Addresses

Primary practice location

757 60TH St
Brooklyn, NY 11220-4209

Mailing address

757 60TH St FL 1
Brooklyn, NY 11220-4209
Phone (718) 567-8899

Other names 1

  • Miss Jing Rong Lu Former name

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
I20201130000695 NY Practitioner - Nurse Practitioner 6507277340 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Chinatown True Care Medical PLLCGroup PAC ID 2163859760, 245 clinicians

Practice addresses (Care Compare)

128 Mott St
Suite 309
New York, NY 10013-5575
Phone (718) 439-3250

8686 Bay Pkwy
Suite M1
Brooklyn, NY 11214-5193
Phone (718) 372-0888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
309513NYMDOtolaryngology Physician
F309513-01NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chinatown True Care Medical PLLC CurrentSince Nov 23, 2022 Accepting new patients

Locations

757 60th St
Ste 1
Brooklyn, NY 11220
Phone (718) 567-8899

4235 Main St
Ste 3E
Flushing, NY 11355
Phone (718) 886-5068

217 Grand St
Ste 401
New York, NY 10013
Phone (212) 390-1830

139 Centre St
Ste 310
New York, NY 10013
Phone (212) 966-8431

128 Mott St
Ste 308
New York, NY 10013
Phone (212) 966-9889

Networks

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

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1583280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583280000000",
    "number": "1538794045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "757 60TH ST FL 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112204209",
            "telephone_number": "718-567-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 60TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112204209",
            "telephone_number": "718-567-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LU",
        "first_name": "JING",
        "middle_name": "RONG",
        "credential": "NURSE PRATITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-04",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F309513-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JING",
            "last_name": "LU",
            "middle_name": "RONG",
            "prefix": "MISS",
            "credential": "ANP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.