Active NPI
Dr Lucas Ralston MD
- Exclusive Provider Organization
- Toms River, NJ
National Provider Identifier
1689004657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Exclusive Provider Organization
- License
- 243938
- Legal business name
- DR LUCAS RALSTON MD
- Practice address
- 201 Cedar Grove Rd
Toms River, NJ 08753-4332 - Phone
- (732) 277-8672
- NPI assigned
- Nov 12, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lucas Ralston MD, MD
- Title
- Pain Management/Orthopedic Surgeon
- Phone
- (732) 277-8672
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Exclusive Provider Organization | 302F00000X | 243938 | NJ | Primary |
Addresses
Primary practice location
201 Cedar Grove Rd
Toms River, NJ 08753-4332
Mailing address
201 Cedar Grove Rd
Toms River, NJ 08753-4332
Phone (732) 277-8672
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2084P0800X | Medicaid | NJ |
National Provider Directory
National Provider Directory- Tax ID family
- Dr Carl Anderson MD
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Health Service Clinic/Center
- Toms River, NJ
- NPI 1205176658
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384214400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1384214400000",
"number": "1689004657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 CEDAR GROVE RD",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "087534332",
"telephone_number": "732-277-8672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 CEDAR GROVE RD",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "087534332",
"telephone_number": "732-277-8672"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR LUCAS RALSTON MD",
"organizational_subpart": "NO",
"enumeration_date": "2013-11-12",
"last_updated": "2013-11-12",
"status": "A",
"authorized_official_last_name": "RALSTON MD",
"authorized_official_first_name": "LUCAS",
"authorized_official_title_or_position": "PAIN MANAGEMENT/ORTHOPEDIC SURGEON",
"authorized_official_telephone_number": "732-277-8672",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "302F00000X",
"taxonomy_group": "",
"desc": "Exclusive Provider Organization",
"state": "NJ",
"license": "243938",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2084P0800X",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Toms River, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.