Individual provider Active NPI

Arthur Saul Lukoff, D.P.M.

  • Primary Podiatric Medicine Podiatrist
  • Ellenville, NY
National Provider Identifier
1629161526
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
NOO2613 Issued in NY
Practice address
11 Lake Dr
Ellenville, NY 12428-2309
Phone
(845) 647-3060
Fax
(845) 647-3060
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X NOO2613 NY Primary
Sports Medicine Podiatrist 213ES0000X NOO2613 NY

Addresses

Primary practice location

11 Lake Dr
Ellenville, NY 12428-2309

Mailing address

11 Lake Dr
Ellenville, NY 12428-2309
Phone (845) 647-3870

Other identifiers 5

IdentifierTypeStateIssuer
200407937OtherNYUNITED HEALTHCARE
00418488MedicaidNY
PJ082OtherNYEMPIRE BC/BS
000471852002OtherNYHEALTHNOW
200010254OtherNMMVP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002613NYMDBehavioral Analyst
NOO2613NYMDPrimary Podiatric Medicine Podiatrist

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1629161526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 LAKE DR",
            "city": "ELLENVILLE",
            "state": "NY",
            "postal_code": "124282309",
            "telephone_number": "845-647-3870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 LAKE DR",
            "city": "ELLENVILLE",
            "state": "NY",
            "postal_code": "124282309",
            "telephone_number": "845-647-3060",
            "fax_number": "845-647-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUKOFF",
        "first_name": "ARTHUR",
        "middle_name": "SAUL",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NY",
            "license": "NOO2613",
            "primary": true
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "NY",
            "license": "NOO2613",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "200407937",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00418488",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC/BS",
            "identifier": "PJ082",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNOW",
            "identifier": "000471852002",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "200010254",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellenville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.