Luis Fernando Vera, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

25MA05842300 Issued in NJ

Practice address

100 Townsend Ave
Berlin, NJ 08009-9011

Phone

(856) 322-3000

NPI assigned

Apr 8, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207612800000",
    "number": "1578736963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3309 BELGREEN RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191541431",
            "telephone_number": "215-292-4576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 TOWNSEND AVE",
            "city": "BERLIN",
            "state": "NJ",
            "postal_code": "080099011",
            "telephone_number": "856-322-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERA",
        "first_name": "LUIS",
        "middle_name": "FERNANDO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-08",
        "last_updated": "2008-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NJ",
            "license": "25MA05842300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Twisted Laces LLC (Schusters Diabetic Shoes & Medical Supplies)
• Chinyere Evangeline Ubah, NP-C
• Omotola Ugochuku, DMD
• Matthew T Unger, DPT
• Miguel Vazquez
• Tara Virgilio, LCSW
• Virtua Health & Rehabilitation Center at Berlin, Inc. (Virtua Health and Rehabilitation Center at Berlin Inc)
• Virtua Home Care -Community Nursing Services Inc (Virtua Pharmacy - Berlin)
• Wal-Mart Stores East, LP (Vision Center 30-1807)
• Richard Wald

• General Practice Physician in Berlin, NJ
• Providers in Berlin, NJ by specialty
• General Practice Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; 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.