Active NPI
Serena Angeline St Luce, M.D.
- Surgery Physician
- Brooklyn, NY
National Provider Identifier
1740599166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 162996
- Practice address
- 121 Dekalb Ave.
The Brooklyn Hospital Center, Dept of Surgery
Brooklyn, NY 11201 - Phone
- (718) 250-8000
- NPI assigned
- Oct 4, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 162996 | NC | Primary |
Addresses
Primary practice location
121 Dekalb Ave.
The Brooklyn Hospital Center, Dept of Surgery
Brooklyn, NY 11201
Mailing address
121 Dekalb Ave.
The Brooklyn Hospital Center, Dept of Surgery
Brooklyn, NY 11201
Phone (718) 250-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 162996 | NC | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286150400000",
"number": "1740599166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 DEKALB AVE.",
"address_2": "THE BROOKLYN HOSPITAL CENTER, DEPT OF SURGERY",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11201",
"telephone_number": "718-250-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 DEKALB AVE.",
"address_2": "THE BROOKLYN HOSPITAL CENTER, DEPT OF SURGERY",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11201",
"telephone_number": "718-250-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ST LUCE",
"first_name": "SERENA",
"middle_name": "ANGELINE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-04",
"last_updated": "2010-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NC",
"license": "162996",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.