Debra L. Lukacsko, MSN, BA, RN, APN, C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

26NN09530400 Issued in NJ

Practice address

505 Ramapo Valley Rd
Mahwah, NJ 07430-1623

Phone

(201) 684-7536

Fax

(201) 684-7534

NPI assigned

Jul 10, 2006

Sex

Female

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)

Not enrolled

Credentials

Bachelor of Arts, Master of Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609800416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 DEERFIELD DR",
            "city": "FRANKLIN",
            "state": "NJ",
            "postal_code": "074169712",
            "telephone_number": "973-827-5819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 RAMAPO VALLEY RD",
            "city": "MAHWAH",
            "state": "NJ",
            "postal_code": "074301623",
            "telephone_number": "201-684-7536",
            "fax_number": "201-684-7534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUKACSKO",
        "first_name": "DEBRA",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "MSN, BA, RN, APN, C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NN09530400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Lieto, OTR
• Angela Longo, INHC
• Gianna Lotito
• LSMD Cardiovascular Diagnostics, LLC
• Amity Lui
• Maa Medical Associates LLC
• Mahwah ASC LLC
• Mahwah Board of Education
• Mahwah Health Services
• Mahwah Health Services, LLC

• Adult Health Nurse Practitioner in Mahwah, NJ
• Providers in Mahwah, NJ by specialty
• Adult Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.