Active NPI
Suzanne Lucido
- Specialist
- Englewood, NJ
National Provider Identifier
1548458144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 010214-1
- Practice address
- 500 Grand Ave
1St Floor
Englewood, NJ 07631-4967 - Phone
- (201) 567-2277
- Fax
- (201) 567-2639
- NPI assigned
- Oct 9, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 010214-1 | NY | Primary |
Addresses
Primary practice location
500 Grand Ave
1St Floor
Englewood, NJ 07631-4967
Mailing address
35 Germonds Rd
New City, NY 10956-2863
Phone (201) 567-2277
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Columbia University College of Physicians and Surgeons, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
365 Route 304
Suite 102
Bardonia, NY 10954-1601
Phone (845) 624-2182
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010214-1 | NY | MD | Home Health Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Medicine and Rehabilitation Center PA | Current | Accepting new patients | |
| We Care Physical Therapy, P.C. | Current | Accepting new patients | |
| Columbia Doctors of New Jersey, P. C. | Past | Accepting new patients |
Locations
500 Grand Ave
Ste 100
Englewood, NJ 07631
Phone (201) 227-1760
500 Grand Ave
Fl 1
Englewood, NJ 07631
Phone (201) 227-1760
365 Route 304
Ste 102
Nanuet, NY 10954
Phone (845) 624-2182
Interoperability endpoints
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Organizations & group practices 3
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.
-
- Rehabilitation Practitioner
- Englewood, NJ
- NPI 1831110469
NY
-
- Physical Therapist
- Manorville, NY
- NPI 1851333512
-
- Orthopaedic Surgery Physician
- Englewood, NJ
- NPI 1184202822
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191888000000",
"number": "1548458144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 GERMONDS RD",
"city": "NEW CITY",
"state": "NY",
"postal_code": "109562863",
"telephone_number": "201-567-2277",
"fax_number": "201-567-2639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 GRAND AVE",
"address_2": "1ST FLOOR",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "076314967",
"telephone_number": "201-567-2277",
"fax_number": "201-567-2639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCIDO",
"first_name": "SUZANNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-09",
"last_updated": "2007-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "010214-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Englewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.