Organization Active NPI

Lux Healthcare LLC

  • Internal Medicine Physician
  • Lincoln, RI
National Provider Identifier
1710553219
Registry record updated Jun 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
LUX HEALTHCARE LLC
Practice address
132 Old River Rd
Lincoln, RI 02865-1161
Phone
(814) 339-7101
Fax
(814) 339-6165
NPI assigned
Jun 3, 2021
Last updated
Jun 3, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2021

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

Authorized official

Name
Kumait Jaroje, MD
Title
Owner
Phone
(814) 339-7101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

132 Old River Rd
Lincoln, RI 02865-1161

Mailing address

PO Box 68
Osceola Mills, PA 16666-0068
Phone (814) 339-7101

National Provider Directory

National Provider Directory

Locations

132 Old River Rd
Lincoln, RI 02865
Phone (401) 334-1044

NPI Registry JSON

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

{
    "created_epoch": "1622678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622678400000",
    "number": "1710553219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 68",
            "city": "OSCEOLA MILLS",
            "state": "PA",
            "postal_code": "166660068",
            "telephone_number": "814-339-7101",
            "fax_number": "814-339-6165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 OLD RIVER RD",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028651161",
            "telephone_number": "814-339-7101",
            "fax_number": "814-339-6165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUX HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-03",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A",
        "authorized_official_last_name": "JAROJE",
        "authorized_official_first_name": "KUMAIT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-339-7101",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; 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.