Individual provider Active NPI

My Luu, FNP-BC

  • Family Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1568013787
Registry record updated Jun 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F345059-01 Issued in NY
Practice address
3314 Steuben Ave
Bronx, NY 10467-2806
Phone
(718) 920-5833
NPI assigned
Sep 29, 2019
Last updated
Jun 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F345059-01 NY Primary
Child Abuse Pediatrics Physician 2080C0008X NY

Addresses

Primary practice location

3314 Steuben Ave
Bronx, NY 10467-2806

Mailing address

3314 Steuben Ave
Bronx, NY 10467-2806

Other practice location 1

35 Smith St
Nanuet, NY 10954-2914
Phone (845) 623-7100

Other practice location 2

1775 Grand Concourse
Bronx, NY 10453-8202
Phone (929) 265-3600

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
I20220303001503 NY Practitioner - Nurse Practitioner 8527452762 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F345059-01NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Jan 14, 2022 Accepting new patients
Montefiore Medical Center CurrentSince Jan 14, 2022 Accepting new patients
Eckerson Pediatric Associates, PC PastSince Aug 1, 2021 Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

1775 Grand Concourse
Bronx, NY 10453
Phone (718) 901-8400

3314 Steuben Ave
Bronx, NY 10467
Phone (718) 920-5833

Networks

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

Interoperability endpoints

  • Direct secure messaging: mluu@montefioredirect.com

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, 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": "1569715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1568013787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3314 STEUBEN AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104672806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3314 STEUBEN AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104672806",
            "telephone_number": "718-920-5833"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35 Smith St",
            "address_purpose": "LOCATION",
            "city": "Nanuet",
            "state": "NY",
            "postal_code": "109542914",
            "country_code": "US",
            "telephone_number": "845-623-7100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1775 Grand Concourse",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104538202",
            "country_code": "US",
            "telephone_number": "929-265-3600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUU",
        "first_name": "MY",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-29",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F345059-01",
            "primary": true
        },
        {
            "code": "2080C0008X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Child Abuse Pediatrics",
            "state": "NY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.