Organization Active NPI

Rafael R.V. Lucila MD

  • Family Medicine Physician
  • Clifton, NJ
National Provider Identifier
1730296211
Registry record updated Dec 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MA061330 Issued in NJ
Legal business name
RAFAEL R.V. LUCILA MD
Practice address
780 Allwood Rd
Clifton, NJ 07012-1923
Phone
(973) 249-6202
Fax
(973) 249-6203
NPI assigned
Aug 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2007

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

Authorized official

Name
Rafael R.V. Lucila, M.D.NPI 1659318483
Title
Physician
Phone
(973) 249-6202

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X MA061330 NJ Primary

Addresses

Primary practice location

780 Allwood Rd
Clifton, NJ 07012-1923

Mailing address

780 Allwood Rd
Clifton, NJ 07012-1923
Phone (973) 249-6202

Other identifiers 1

IdentifierTypeStateIssuer
6672001MedicaidNJ

Other names 1

  • LUCILA MEDICAL Other name

National Provider Directory

National Provider Directory

Locations

780 Allwood Rd
Clifton, NJ 07012
Phone (973) 249-6202

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197849600000",
    "number": "1730296211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 ALLWOOD RD",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070121923",
            "telephone_number": "973-249-6202",
            "fax_number": "973-249-6203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 ALLWOOD RD",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070121923",
            "telephone_number": "973-249-6202",
            "fax_number": "973-249-6203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAFAEL R.V. LUCILA MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2007-12-17",
        "status": "A",
        "authorized_official_last_name": "LUCILA",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_middle_name": "R.V.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "973-249-6202",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MA061330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6672001",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LUCILA MEDICAL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.