Active NPI
Rafael R.V. Lucila MD
- Family Medicine Physician
- Clifton, NJ
National Provider Identifier
1730296211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MA061330
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6672001 | Medicaid | NJ |
Other names 1
- LUCILA MEDICAL
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Medicine Physician
- Clifton, NJ
- NPI 1659318483
-
- Geriatric Medicine (Family Medicine) Physician
- Clifton, NJ
- NPI 1972544815
-
- Family Medicine Physician
- Pompton Plains, NJ
- NPI 1003012410
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.