Debra Lynn Luczkiewicz, MD

Primary specialty

Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X

License

250336 Issued in NY

Practice address

225 Como Park Blvd
Cheektowaga, NY 14227-1416

Phone

(716) 601-3962

Fax

(716) 686-8100

NPI assigned

May 6, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Supportive Medical Partners, PLLC

  • Pain Medicine Physician
  • Cheektowaga, NY
  • NPI 1659338184
  Medicare reassignment NPD

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

{
    "created_epoch": "1241568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408924800000",
    "number": "1730313685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 COMO PARK BLVD",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142271416",
            "telephone_number": "716-601-3962",
            "fax_number": "716-686-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 COMO PARK BLVD",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142271416",
            "telephone_number": "716-601-3962",
            "fax_number": "716-686-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCZKIEWICZ",
        "first_name": "DEBRA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-06",
        "last_updated": "2014-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "NY",
            "license": "250336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03120321",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ann Loughran
• William Lubey
• Brooklyn Eve Lubitz, LMSW
• Briana Alicia Lucas, RN, LPN
• Juliana Maria Luciani, M.S., R.D.
• Prama Luther, M.D.
• Ramesh Luther, M.D.
• Wendy A Lutz, LMSW
• Luv Liv Hair Inc
• Luxottica of America Inc.

• Hospice and Palliative Medicine (Family Medicine) Physician in Cheektowaga, NY
• Providers in Cheektowaga, NY by specialty
• Hospice and Palliative Medicine (Family Medicine) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.